Purchase Order
For Goods & Services
Purchase Order #
Date of Service
Vendor Name
*
Name of Business or Person we are buying goods and services from.
Vendor Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vendor Phone
-
Area Code
Phone Number
Vendor Email
example@example.com
Vendors Terms of Payment
Upon Receipt
Net 10
Net 15
Net 30
Paid with Credit Card
Type of Credit Card & Last 4 digits of Card
Type and number of card
JMA Company Purchasing Product or Services
*
MS
SC
FL
TX
MN
Freije
Type of Goods/Service
*
Freight
Advertising
Building Maintenance
Shop / Yard Supplies
Repairs to Fixed Asset
Re-billable Repairs
JMT Transportation
Other
Charge To Auction Name/Date If Any
*
If Not Auction Specific enter NA
Product/Services
*
Should this be rebilled to a consignor of an auction
*
Yes
No
Consignor Name That Should be Charged
Consignor Code or Name
Rebill Amount to Customer?
Upload Documents If Any Available (Quotes etc.)
Browse Files
Cancel
of
Purchase Order Total
*
Requisitioning Staff Member
*
Requisitioning Staff Member Email
*
example@example.com
Supervisor of Requesting Staff Email
*
example@example.com
Notes
Submit
Should be Empty: