Cleaning Service Supplies Order Form
Please fill out all relevant fields with accurate information to complete your order.
Ordered By:
Buyer Name: | [Buyer Name] |
Address: | [Buyer Address] |
Number: | [Buyer Number] |
Email: | [Buyer Email] |
Deliver To:
Receiver Name: | [Receiver Name] |
Address: | [Receiver Address] |
Number: | [Receiver Number] |
Email: | [Receiver Email] |
Order Details
Supplies Description | Quantity | Unit Price | Total Price |
|---|
All-Purpose Cleaner (1 gal) | 5 | $10.00 | $50.00 |
Microfiber Cleaning Cloths | 10 packs | $8.50 | $85.00 |
Mop Heads | 3 | $15.00 | $45.00 |
Vacuum Cleaner Bags | 2 boxes | $20.00 | $40.00 |
Disposable Gloves | 1 box | $12.00 | $12.00 |
Trash Bags (30 gal) | 4 boxes | $18.00 | $72.00 |
Window Cleaner Spray (32oz) | 8 bottles | $5.00 | $40.00 |
Broom | 2 | $10.00 | $20.00 |
Total | | | $364.00 |
Payment Information
Payment Method:
Billing Address (if different from delivery address): [Billing Address]
Delivery Information
Delivery Date Requested: [Delivery Date Requested]
Special Delivery Instructions:
Please deliver the order to the rear entrance of the building between 9:00 AM and 5:00 PM Monday through Friday. |
Terms and Conditions
All sales are final. No returns or exchanges unless goods are defective.
Payment is due upon receipt of invoice unless credit terms have been established.
Late payments are subject to a [X]% late fee per month.
This form serves as an official request for the listed items. By signing below, the customer agrees to the terms and conditions outlined above.
[Buyer Name]
[Date]
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