Purchase Order

Purchase order to buy specified goods. Also includes terms of payment, maintenance, and post-installation training.

DATE: State the date of the purchase order PURCHASE NUMBER: State the purchase order number

TO: State the name of the seller

State the street address (first line) of seller

State the street address (second line) of seller

State the City, state and postal code of seller

State the name of the buyer (issuer of p.o.), desires to purchase the following on the terms stated herein. TO ACCEPT THIS OFFER PLEASE RETURN THE ORIGINAL SIGNED PURCHASE ORDER. ACCEPTANCES MUST BE ON THIS FORM.

Item: State the item purchased Quantity: State the quantity of item ordered (in numerals) (State the quantity of item ordered (in words)) Price per unit: $State the price per unit Tax: $State the tax (if any)

TOTAL: $State the total purchase order value in numerals (total price) ($State the total purchase order value in words)

Shipping date: State the shipping date Shipping method: State the shipping method

THIS PURCHASE ORDER IS SUBJECT TO THE TERMS AND CONDITIONS STATED BELOW:

THE DATE STATED FOR SHIPPING IS A FIRM REQUIREMENT DATE. PURCHASE ORDER IS VOIDED IF NOT SHIPPED WHEN SPECIFIED ABOVE.

The goods supplied must meet the following specifications:

State the specifications

State the name of the buyer (issuer of p.o.) shall have State the number of days allowed for inspection days from delivery to inspect a representative sample of the goods delivered for conformity with the specifications set forth above. Should the goods fail to conform to the specifications stated above, State the name of the buyer (issuer of p.o.) shall notify State the name of the seller, who shall have State the number of days for seller to fix goods days to cure. Should State the name of the seller fail to cure, the contract shall be deemed to have been breached by State the name of the seller.

TERMS FOR PAYMENT

State the name of the buyer (issuer of p.o.) shall pay for the goods purchased on the following terms:

State the terms for payment

As to any and all products listed above purchased under this purchase order that require set up, assembly or installation, State the name of the seller shall provide the same, within State the number of days after delivery to set up days of delivery. Setup shall be in accordance with manufacturers specifications. The cost of the same is included in the price stated above.

State the name of the seller shall provide any and all needed maintenance, including routine manufacturers specified maintenance, for a period of State the number of months for maintenance days after delivery, including parts and labor on site.

State the name of the seller shall provide State the number of hours training allowed hours of training to the personnel of State the name of the buyer (issuer of p.o.), on site, after installation. The price for the same is included in the price stated above.

ACCEPTANCE OF THIS OFFER SHALL ONLY BE ON THIS PURCHASE ORDER FORM. ANY TERMS CONTAINED ON SHIPPING RECEIPTS, OR LANGUAGE WITHIN THE MANUALS, OR ON THE CONTAINER ON WHICH THE GOODS ARE SHIPPED, SHALL NOT BE OPERATIVE TO VARY THE TERMS OF THIS AGREEMENT.

BY:

_____________________________________________

State name of buyer's officer issuing purchase order

ACCEPTED BY State the name of the seller

BY:

____________________________________________

INSTRUCTIONS TO RECIPIENT:

Please return a signed copy of this purchase order to :

State the name of the buyer (issuer of p.o.)

State street address for mailing purchase order of buyer

State city, state for mailing purchase order

This purchase order will then be forwarded to accounts payable for approval and payment.

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