Insert Customer Company Letter Head
Purchase Order
| Company Name: ________ | P.O. Date: ________ | Payment Terms\n*DFS LEASE or LOAN\n(Circle choice) |
|---|
| P.O. Number: ________ | | |
| If no P.O. number is specified, the date on the P.O. will be used as the P.O. number. | | |
| Dell Customer Number: ________ | | |
| Bill to Name:
Street Address:
City, State Zip
Attn:
Phone #: | Ship To Name:
Street Address:
City, State Zip
Attn:
Phone #: | Email: |
Customer agrees to finance the products(s) itemized on the quotation number(s) indicated below at the price(s) indicated, plus applicable taxes and shipping & handling charges, subject to the applicable Dell terms and conditions of sale located at http://www.dell.com/terms.
*Lease Terms are applicable to this purchase order and are subject to Credit Approval. Additional financial information in the form of financial statements from previous years may be required.
Please attach tax exempt letter/certificate if applicable.
QTY QUOTATION OR PART NUMBER DESCRIPTION UNIT PRICE TOTAL
SUBTOTAL
Additional Instructions: FEIN SALES TAX (IF APPLICABLE) Please include tax exempt certificate if sales tax exempt noting vendor as Dell Financial Services SHIPPING & HANDLING ENVIRONMENTAL FEE TOTAL
DFS LEASE TERMS - Circle Choices MONTHS: 12 18 24 30 36 48 60 other...... End of Lease Option: Fair Market Value $1.00 Buyout Loan Other
Signature (Authorized Buyer): ___ Date: ___
Print Name (Authorized Buyer): ___Title___