Northbridge Supply Co.

Wholesale · Trade Distribution

Wholesale Order

B2B Purchase Form

PO / Order #

Order date

Account #

Rep

1 Buyer & account

Business / reseller name

Buyer name

Phone

Resale / tax-exempt #

2 Items ordered

Item description

SKU

Qty

Unit price

Amount

Cedar pillar candle, 8oz (case/12)

CDR-08

$54.00

$540.00

Linen tea towel, natural (case/24)

LTT-NAT

$72.00

$432.00

Stoneware mug, slate (case/12)

SWM-SLT

$96.00

$768.00

Prices are per case at wholesale. Minimum opening order $250. Add a line per SKU.

3 Shipping & terms

Ship-to address

Payment terms

Ship via / requested date

Subtotal

Freight (est.)

Order total

4 Authorization

I am authorized to purchase on behalf of the business named above and agree to Northbridge Supply Co.'s wholesale terms, including the stated payment terms (Net 30 from invoice date), minimum order, and resale-certificate requirement. Goods are sold for resale only.

Authorized buyer signature · print name above

Date

NORTHBRIDGE SUPPLY CO. · [email protected] · (555) 662-8100 · Net 30 on approved accounts · Remit to PO Box 1140