Repeat Quote/Order Form
Company
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Your Name(*)
 Please type your full name.
Phone Number
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Email Address(*)
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(*)
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Last Order Number
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Is this order/quote an exact repeat?
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If no, please list what changes you would like to make.
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Customer Name
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Form Name
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Your Purchase Order No
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Customer Purchase Order No
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Quote No(Orders Only)
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Quantity
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Price
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Ship to Company Name
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Ship to Street Address
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Ship to City, State, Zip
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Starting No
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Comments/Notes
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All orders are subject to 10% variance in quantity (over-run or under-run). Check and initial below if you do not wish to accept this policy on this order.
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(Note: Additional charge will apply)

FILL IN THIS FORM, THEN CLICK SUBMIT OR PRINT IT OUT USING YOUR BROWSER'S PRINT FUNCTION AND SEND TO KING BUSINESS SOLUTIONS USING THE FAX NUMBER OR MAILING ADDRESS LISTED BELOW.

King Business Solutions
P.O. Box 71089 | Knoxville TN 37938-1089
Phone: 865-925-3676 | 800-251-9236 Fax: 865-925-4045