Nutrin
Distribution
Company

Purchase Order:

FAX (815) 550 6246   

ATT: Order Dept  

MAIL:

Nutrin Distributions Co. / Order Dept
P.O. Box 65048, 
Washington, DC 20035

 

TODAY'S DATE:____________________

(For ease of use and to insure promptness this form can be printed, completed and then faxed or mailed to Nutrin. You will receive a confirmation when we receive your order.)

Name of Organization___________________________________

Name of Purchasing Agent: __________________________________

Do you wish to ship to your standard shipping point?

Yes / No

If "No", please enter shipping address below.

Shipping Address (Street 1)___________________________________

Shipping Address (Street 2)___________________________________

Shipping Address (City)___________________________________

Shipping Address (State of Province)____________________________

Shipping Address (ZIP or Postal Code)_________________________________

Shipping Address (Country)____________________________

Date you require product to arrive at your location by ______________

OR

Date you wish product to ship from our warehouse: ____________

Purchase Order # _____________

How do you wish to ship the product?

You will pick up (Please make pick-up appointment 24 hrs prior)

Nutrins freight broker (freight collect)

Your Preferred Carrier

If Your Preferred Carrier is selected, please specify name of carrier and

telephone number.

Name_________________________- Telephone Number _____________________

Products:

 

PARTIALLY DEFATTED PEANUT FLOUR

Bland: ____ 25 Kg cases x $ __________ per case = $__________

Medium: ____ 25 Kg cases x $ __________ per case = $__________

Strong: ____ 25 Kg cases x $ __________ per case = $__________

X-Strong: ____ 25 Kg cases x $ __________ per case = $__________

TOTALLY DEFATTED PEANUT FLOUR

Bland: ____ 25 Kg cases x $ __________ per case = $__________

Medium: ____ 25 Kg cases x $ __________ per case = $__________

Strong: ____ 25 Kg cases x $ __________ per case = $__________

 

PEANUT EXTRACT:

Roasted ____ 55 gl drums x $ __________ per drum = $__________

PEANUT PASTE / BUTTER:

Code_______ ____ 25 Kg cases x $ __________ per case = $__________

Code_______ ____ 55 gl drums x $ __________ per drum = $__________

PARTIALLY DEFATTED PEANUTS:

Code_______ ____ 30 Kg cases x $ __________ per case = $__________

 

PEANUT OIL:

AROMATIC ____ 55 gl drums x $ __________ per drum = $__________

ROASTED ____ 55 gl drums x $ __________ per drum = $__________

 

TOTAL ORDER: $_____________

Someone from Nutrin will contact you with confirmation within the next 24 Hours.

Thank you for your order.

 


Nutrin Corporation, P.O. Box 65048, Washington, DC 20035
Toll Free (888) 718 3235     FAX (815) 550 6246