Purchase Order Form      
Head Office

Show Room

185 Charlotte Street,

270 Thomas Street,
Maraj Building, Georgetown. 

North Cummingsburg, Georgetown.
Tel:    592-225-0416  

Tel: 592-227-6556 / 227-5731
Fax:    592-225-0417

Fax:    592-227-6556

E-mail:    salod@guyana.net.gy

Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Please provide the following product information:

Product Name
Product Code
Serial Number

Please provide the following ordering information:

QTY DESCRIPTION

 

BILLING
Purchase Order #
Account Name

 

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Choose one of the following payment options:

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Please note that 50% of total payment is required on order.

 


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