Fax Order Form - Russ Stationers

HOME/ORDER ONLINE/CONTACT US

FAX ORDER FORM
(Select File > Print to print this form out from your browser window)

Please fill out the form below and fax your order to us by 4:00pm for next day delivery. If you have any questions or need assistance, don't hesitate to call us at 415-392-7169.
FAX #: 415-392-7191

CUSTOMER #:

DATE: (Month / Day / Year)

FIRST and LAST NAME: (Authorized Buyer)

PURCHASE ORDER (PO) #:

DELIVER / BILL TO:

Company Name:

Address Line 1:

Address Line 2:

City / State:

Zip Code:

PHONE: (000) - (000-0000)

EMAIL:

PLEASE SEND ME A COPY OF THE NEW CATALOG (Circle one)

YES NO

** PLEASE FILL IN ALL BOXES BELOW SO THAT WE MAY PROCESS YOUR ORDER EXPEDIENTLY. **

You can enter the stock number and quantity from any catalog!

ITEM #:

PAGE #:

QTY:

U/M:

COST:

ITEM DESCRIPTION:

REMARKS/NOTES:

THANK YOU FOR YOUR ORDER!

HOME/ORDER ONLINE/CONTACT US		FAX ORDER FORM Please use this additional page for orders over 10 items. PAGE ___ OF ___ PAGES (i.e., page 2 of 3 pages total)
CUSTOMER #:						DATE: (Month / Day / Year)
FIRST and LAST NAME: *(Authorized Buyer)*						PURCHASE ORDER (PO) #:
PLEASE FILL IN ALL BOXES BELOW SO THAT WE MAY PROCESS YOUR ORDER EXPEDIENTLY. You can enter the stock number and quantity from any catalog!
	ITEM #:	PAGE #:	QTY:	U/M:	COST:	ITEM DESCRIPTION:















REMARKS/NOTES:
Russ Stationers, Copyright 2002-2004. All rights reserved.THANK YOU FOR YOUR ORDER!