HTML Preview Printable Purchase Order Form page number 1.


Bill To:
Business / Agency :
Name :
Address :
City, ST Zip :
Phone / Fax :
PURCHASE
ORDER
The following number must appear on all related
Correspondence, shipping papers, and invoices:
PO Number :
Contact Name :
Phone / Fax :
eMail :
Ship To:
(Site to be shipped to/ No PO Boxes)
Name :
Business / Agency :
Address :
City, ST Zip :
Phone / Fax :
eMail :
P.O. DATE Contract Name Contract Number TERMS
Net 30 Days
QTY Part # Description Unit Price Total
Resellers: Please include your Location ID:
Subtotal :
Tax ID# if not already on File:
Tax :
Other :
TOTAL :
Authorized by
(PO must be signed and dated)
Date
Vendor:
(NOTE: Please only use info below)
Hewlett Packard
Attn: Public Sector Sales
14231 Tandem Blvd
Austin, TX 78728
Voice: 1
-
800
-
888
-
3224
Fax: 1
-
800
-
825
-
2329
Orders with reseller bill-to addresses must also include an end-user PO.
CarePaqs will be registered to Contact Name & Email unless otherwise indicated.
Fax completed PO to: 800-825-2329
Print Form
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