Kitchen Specification Reference Guide 10-2018 z

DEALER KIOSK DISPLAY SET ORDER FORM

REC’D FROM:

REC’D BY:

ORDER DATE:

CUSTOMER NUMBER: ________________

SHIP TO NUMBER:

BILL TO:

SHIPTO:

PO #

REP:

COMMISSION:

TERMS CODE:

DATE WANTED:

CARRIER:

PPD/COLLECT/PPD+:

SPECIAL INSTRUCTIONS :

________________________________________________________________________________ ITEM# QTY PRICE EXT. PRICE KIOSK Display Set 1 $999 Including: KIOSK Stand 1 SHB15 1 HBB15 1 ESB15 1 RLB15 1 GSW1530 1 GHW1530 1 PMW1530 1 SLW1530 1

** Ship Prepaid