YOUR BUSINESS NAME HERE

PHONE ORDER FORM

Order Date: Transaction/Quote Number:

Billing Address:
Name:
Address:

City/State/Zip:
Phone:
Email:

Shipping Address (if different from billing):

Name:
Address:

City/State/Zip:
Phone:
Email:
Order Information:
Item Description Qty. Price Total

Subtotal:
Discount (if applicable):
Illinois Sales Tax (10.25%):
Shipping:
Total:
Payment information on reverse.
 Payment Information:
Use this section for Visa, Mastercard, and Discover
Card Number:
Expiration Date:
CV2 (3 digits):

Use this section for American Express

Card Number:
Expiration Date:
CV2 (4 digits)

General Information:
 All merchandise is shipped via USPS within 2 business days
 Tracking numbers for packages will not be provided
 Expedited and international shipping are unavailable (except in rare occasions and upon
manager’s prior approval)
 Email address is required to receive e-receipt upon processing order

Employee Information:
 If order is input into POS, please provide transaction or quote number on front page
o Transaction numbers apply to all orders where payment has been processed
o Quote numbers apply to all orders where payment has not been processed
 When processing order in POS, you will be required to establish the customer in the system
and flag this order as a shipment by pressing the “Ship” button – adding shipping does not
add the order to the shipping queue
 Illinois State Sales Tax (10.25%) applies to all orders shipped within the State of Illinois
 Out of State Tax applies to all orders shipped outside the State of Illinois
 Shipping rates are calculated based on the order total after all discounts and taxes are
applied. Please consult the shipping rate chart, located at the front of the white binder, for
specific shipping rates.

v. 5/18/2018