Employee Inventory Purchase Order Form

Guidelines

Must be for employee personal use only.
Orders are due by 4pm on Wednesday.
Orders can be picked up during normal business hours after 4pm Thursday.
Payment methods accepted: personal check, credit card or payroll deduction.
Orders are priced at the 10,000-pound bracket price. No EE discounts apply.

"*" indicates required fields

Name*

First Last

Employee Number*

Distribution Center (DC)*

Email*

Phone*

Additional Instructions

I would like to order*

Dot Item #

Description

# of cases

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