Purchase Order

This purchase order form and our Terms and Conditions

constitute your purchase order with Tactile Vision Graphics Inc.

Customer Information

Contact Name (required)

Company

Title / Department

Shipping Address

Address Line 1 (required)

Address Line 2

City (required)

Province / State / County (required)

Country (required)

Postal Code / Zipcode / Postcode (required)

To the attention of

Telephone

E-mail (required)

BillingAddress (if different From Shipping Address)

Address Line 1

Address Line 2

City

Province / State / County

Country

Postal Code / Zipcode / Postcode

Billing Contact

Vendor Information

Vendor: Tactile Vision Graphics Inc.

Vendor Code

Purchase Order Information

Date (format YYYY-MM-DD)

Purchase Order Number

Reference

Description

Tax (required)

Payment Type (required)

I have read the Terms and Conditions

Terms and Conditions