Locks & Bows LTD.

32 Park Place, Brooks, Alberta, T1R 1G6

PH: (403) 330-7474 FX: (403) 793-8641

EMAIL: orders@locksnbows.com

Purchase Order

SOLD TO: _____________________________         SHIP TO:  ____________________________
ADDRESS: ____________________________         ADDRESS: ___________________________
CITY: _________________ PROV: _________         CITY:  _______________  PROV: _________

POST CODE: _________                                                   POST CODE: ________
TEL: ____________  FAX: ________________          EMAIL: _____________________________

SHIP VIA:_____________________________

Line No.

Quantity Order Item No. Description Quantity/Color Unit Price/Per Amount
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SPECIAL INSTRUCTIONS: ______________________________                                                                 TOTAL:_______________
METHOD OF PAYMENT:
COD:  ____________

CHEQUE or MONEY ORDER:  ________________         BUYER’S NAME: ___________________
VISA - CARD NO: __________________________         SIGNATURE: ______________________
EXPIRY DATE:      _____ / ____ / _____                    CARD'S NAME: _____________________
 

 

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