Fillable Printable Purchase Order Sample Form

Purchase Order Sample Form

Bill To:

Business / Agency :

Name :

Address :

City, ST Zip :

Phone / Fax :

PURCHASE

ORDER

The following number must appear on all related

Correspondence, shipping papers, and invoices:

PO Number :

Contact Name :

Phone / Fax :

eMail :

Ship To:

(Site to be shipped to/ No PO Boxes)

Name :

Business / Agency :

Address :

City, ST Zip :

Phone / Fax :

eMail :

P.O. DATE Contract Name Contract Number TERMS

Net 30 Days

QTY Part # Description Unit Price Total

Resellers: Please include your Location ID:

Subtotal :

Tax ID# if not already on File:

Tax :

Other :

TOTAL :

Authorized by

(PO must be signed and dated)

Date

Vendor:

(NOTE: Please only use info below)

Hewlett Packard

Attn: Public Sector Sales

14231 Tandem Blvd

Austin, TX 78728

Voice: 1

800

888

3224

Fax: 1

800

825

2329

Orders with reseller bill-to addresses must also include an end-user PO.

CarePaqs will be registered to Contact Name & Email unless otherwise indicated.

Fax completed PO to: 800-825-2329