ORDER SLIP ORDER SLIP ORDER SLIP

Name of Customer: ____________________ Name of Customer: ____________________ Name of Customer: ____________________

Address: _____________________________ Address: _____________________________ Address: _____________________________
Item: ________________________________ Item: ________________________________ Item: ________________________________
Amount: _____________________________ Amount: _____________________________ Amount: _____________________________
Date to be delivered:___________________ Date to be delivered:___________________ Date to be delivered:___________________
Mode of Payment: Mode of Payment: Mode of Payment:
Cash Cash Cash
Installment Installment Installment
Daily Daily Daily
Weekly Weekly Weekly

________________________ _____________________ ________________________ _____________________ ________________________ _____________________

Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name

ORDER SLIP ORDER SLIP ORDER SLIP

Name of Customer: ____________________ Name of Customer: ____________________ Name of Customer: ____________________

Address: _____________________________ Address: _____________________________ Address: _____________________________
Item: ________________________________ Item: ________________________________ Item: ________________________________
Amount: _____________________________ Amount: _____________________________ Amount: _____________________________
Date to be delivered:___________________ Date to be delivered:___________________ Date to be delivered:___________________
Mode of Payment: Mode of Payment: Mode of Payment:
Cash Cash Cash
Installment Installment Installment
Daily Daily Daily
Weekly Weekly Weekly

________________________ _____________________ ________________________ _____________________ ________________________ _____________________

Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name