Purchase Order Form

Tools

The Global Expert in Solid State Switching Technology

Send Purchase Order Form to Electro Sonic Group

Fields marked with * are required

General Information
Name*
Title
Company*
Phone*
Fax
Email*
PO#
Terms
Shipment Method
F.O.B. Point
Taxable	Yes No
Existing Customer	Yes No
Customer Account No
Vendor Contact

Billing Information
Bill to Company*
Address Line1*
Address Line2
City*
US State*	(If non US, choose "Other")
Non US Region
Country*
Zip Code*

Shipping Information Same as Billing Information above
Ship to Company
Address Line1
Address Line2
City
US State*	(If non US, choose "Other")
Non US Region
Country*
Zip Code*
File Attachment
Customer No
(Refer to this no. for all future correspondence)

Special Instructions


To send the same Purchase Order to additional suppliers, follow these steps:

1. Go ahead and click on "Send P.O. Form". All of the information above will be automatically copied.
2. After submitting this, go to another supplier that has the "PO" link and click on it.
3. Click here to paste all that was previously entered and copied.

ATTENTION! If for any reason, this P.O. Form does not reach the Company you are attempting to contact, PLEASE notify webmaster@mectronic.com and we will correct the problem immediately.

Part No.

Manufacturer/Description

Due Date

Unit Price

Ext Price