Date:______________ Purchase Order #:______________ SUPPLIER BILL TO Sadoun Satellite Sales Co. / Name:______________________ 2747 Westbelt Dr., Address: ________________________ Columbus, OH 43228" City, ST zip:____________________ Tel: 888-519-9595, Tel #: ___________________________ Fax: 614-529-9570 Fax #: ___________________________ sales@sadoun.com Email: __________________________ SHIP TO (If different than Bill To) Name: _____________________ Company: __________________ Address: ___________________ City, ST,zip: _________________ Tel #: _______________________ Shipping Method: Standard Ground If you prefer that we use our account or a different shipping method (Air, Express, etc), pls indicate so. Item Model# Description Price Qty Amount 1_______________________________________________________________ 2_______________________________________________________________ 3_______________________________________________________________ 4_______________________________________________________________ 5_______________________________________________________________ 6_______________________________________________________________ 7_______________________________________________________________ Shipping & Handling: $ Total amount (US$) $ Payment: ___MASTERCARD on file ___VISA on file ___Company Check ___Cashiers Check "I do hereby authorize Sadoun Satellite Sales to process payment for this orders to the credit card on file. I assume responsibility for all payments pertaining to my account and do state that I am the cardholder. I do also agree to abide by the Sales & Return Authorization Policies established by Sadoun Satellite Sales. I have read the Terms & Conditions and hereby agree to the terms of this sale. Authorized Signature ___________________________________ Date ________________ Fax this order form to Sadoun Satellite Sales at Fax# 614-529-9570 or email to Sales@sadoun.com