SEND US YOUR PURCHASE ORDER OR COMPLETE THIS FORM TO PLACE YOUR ORDER

 

Purchase Order

 

 MXN Corporation

 PMB306 Purchase Order No:

 1025 Rose Creek Drive #620

 Woodstock, GA  30189 Purchase Order Date:

PLEASE SEND YOUR PURCHASE

ORDER TO DEBORAH ARNETT:

 

Voice: 770/926-6762  

Fax: 770/926-9448  

E-mail: darnett@mxncorp.com

 

                  Bill To:               Ship To:

               

 

 

 

 

               

                             

              

Quantity

Item

Description

Unit Price

Extended Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                                                                                TOTAL  ____________________          

 

 

 

                AUTHORIZED SIGNATURE: __________________________________________________