Cleaning Service Supplies Order Form
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:
-
Credit Card
-
Check
-
Cash
-
Other:
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]
