PURCHASE ORDER FORM VP Coffee, Inc. 320 E. 3rd Street Siler City, NC 27344 (919) 966-4933sales@vpcoffee.com CC: billing@vpcoffee.com YOUR COMPANY INFORMATION Name Company Address City, State, Zip Phone Email Ordered by: Ship Via: VP Quote # Special Shipping Terms ORDER INFORMATION Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total Item Item Description QTY Unit Price Total ORDER TOTAL I accept the terms and conditions. By checking this box, I am agreeing to purchase the specified items listed in this purchase order from VP Coffee, INC. SPECIAL INSTRUCTIONS Send
