FAX ORDER FORM - Office Depot
[Pages:1]FAX ORDER FORM
ORDER ANY TIME, DAY OR NIGHT. USE THIS FORM FOR YOUR CONVENIENCE.
(Be sure to make extra copies for future orders).
CALL 800.463.3768 FAX 800.685.5010 CLICK
Order Date:
?
?
Please enter source code from back cover of catalog
Source Code:
1 CUSTOMER INFORMATION Bill to: First Name: ______________________________ Last Name: ________________________________ Signature: ______________________________ Company Name: _____________________________________ Customer ID#: _____________________________________ Worklife Rewards Member #: ___________________ Phone: ( )________________ Ext.: _________ Email: ___________________@_______________________ Address: ___________________________________________________________________________________ City: ___________________________________ State: _______________________ Zip: _________________ Ship to (if address is different from above): Company Name: _____________________ Contact Name First: ________________ Last: __________________ Phone: ( )__________________________________ Ext.: __________ Fax: ( ) __________________ Email: ____________@__________________ Address: ______________________________________________ City: ___________________________________ State: _______________________ Zip: _________________
Select Credit Card
Office Depot Business Credit Acct.
MasterCard
Credit Card Number
Visa
Discover
?
Expiration Date
2 YOUR ORDER INFORMATION
Page # 9-Digit Item # Quantity
Item Description
AmEx
Office Depot Gift Card
30-DAY CHARGE ACCOUNT
VK Charge Acct.
CID/Card Code PO# (not required)
Coupon Code Price (each)
TOTAL
Subtotal
Local Sales Tax
I will accept substitutions on out-of-stock items with items of comparable value and quality:
YES
NO
Grand Total
If you can't find what you are looking for here...
D See our BIG BOOK CATALOG or visit
CUST9.10_D-JLMNOP
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