PURCHASE ORDER - USS CONSTITUTION
 Please print this form and send (with payment) to:
Nations International Trading Group Corporation
21738 Ocean Pine’s Drive , Land O’Lakes, FL. 34639-4585
(813) 335-8787 e-mail:nationstradinggr@aol.com. | home page

CUSTOMER INFORMATION

SHIP TO:  (if applicable)

Name:

Name:

Address:

Address:

City:

City:

State:                            Zip:

State:                            Zip:

Home Phone:
 
SHIPPING AND HANDLING ADDITIONAL

 

NOTE: TAMPA BAY AREA CLIENTS MAY ARRANGE FOR PICK-UP IN LIEU OF SHIPPING AND HANDLING CHARGES.

Cell Phone:

E-mail:

Pick-Up:   Yes    No

Resale:    Yes    No

Sales Tax #:

QTY

LIMITED EDITION DESCRIPTION

PRICE

TOTAL

 

USS CONSTITUTION (80 cm) with display case

* $1995.00

  * $

Payment Received:$______
 (do not send cash by mail) Cash Check#

SALES TAX*

TOTAL

* $
 
Make payable to: Nations International Trading Group Corporation and mail with purchase order
to: 21738 Ocean Pine’s Drive, Land O’Lakes, FL. 34639-4585
*(If purchasing for re-sale, sales tax number and copy of sales-tax certificate must be provided.)

Customer Acknowledgement Statement:

I hereby acknowledge the Nations International Trading Group Corporation. brochure/disclosure form conveyed with Nations International Trading Group Corporation's website presentation and understand/accept all the disclosures and conditions herein.


                                                      
Customer Signature  

                                                
Date
Approved by:
                                                      
Nations International Trading Group Corporation *Authorized Signature