PURCHASE ORDER (this form can be printed for mail order)Please Check One 

RLBPS

.8089 N Wheatfield Dr. Tucson AZ 85741
      

Phone: 815-874-5351

Email;orders@bobspaintingservice.com

NameBack Order any item(s) not in stock 
Street AddressRefund any items not in stock 
CityStateZipIssue credit card slip on any items(s) not in stock 
CountryList Substitutions 
PhoneDateThis form is not required for e-mail orders.
 

QTYITEM NUMBERMANUFACTURERDESCRIPTIONCOSTTOTAL
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
           
SUBTOTAL 
PAYMENTDISCOVERVISA MASTERCARD Pay Pal DISCOUNTS
(if applicable)

CARD NUMBER

3 digit sec. number


 
AUTHORIZED SIGNATURE
Postage & Handling  
EXPIRATION DATE (mo/yr)
TOTAL DUE 

PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE