ORDER FORM

 
 

WIRELESS WAREHOUSE USA
248-398-1111 FAX 248-398-4989   

PRINT AND FAX                          PLEASE NOTE: MINIMUM ORDER - 10 CELLULAR PHONES

COMPANY NAME: ________________________________________________
CONTACT PERSON: ________________________________________________
ADDRESS: ________________________________________________
CITY, STATE, ZIP: ________________________________________________
PHONE #: ________________________________________________
FAX #: ________________________________________________
FEDERAL TAX ID #: ________________________________________________
E-MAIL ADDRESS : ________________________________________________

CELLULAR MANUFACTURER

QUANTITY

WHAT CARRIER

UNIT PRICE

Total
1. _________________________ __________ __________ ___________ ___________
2. _________________________ __________ __________ ___________ ___________
3. _________________________ __________ __________ ___________ ___________
4. _________________________ __________ __________ ___________ ___________
5. _________________________ __________ __________ ___________ ___________
6. _________________________ __________ __________ ___________ ___________
7. _________________________ __________ __________ ___________ ___________
8. _________________________ __________ __________ ___________ ___________
     

SUB TOTAL   

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