Order Form

Qualification Targets Inc


	1145 Clyde Hanson Dr Hammond, WI 54015


	Phone - 715-796-5201 Toll Free - 866-498-8228 Fax - 866-498-8448


	sales@targets.net


	Qualification Targets Order Form

1145 Clyde Hanson Drive · Hammond, WI 54015 · Toll Free FAX 866-498-8448

Toll Free - 866-498-8228

To print this form: Click once anywhere on the form below, then click on File in your browser menu bar. Then select Print from the menu.
Date:___________

Quantity	Target Number and Description	Unit Price	Total






		Subtotal
If taxable and in MN or SD, add Sales Tax (6.5%)
TOTAL

*All orders are F.O.B. Qualification Targets. Freight will be added when billed.*

Purchase Order Number:_________________________
Credit Card: Visa [ ] Mastercard [ ] Discover [ ]
Credit Card Number:_________________________		Security Code ______
Expiration Date:_________________________

Ordered by: ___________________________________________________ E-mail Address: ________________________________________________
Agency: ______________________________________________________
Address: ______________________________________________________
_______________________________________________________________
_______________________________________________________________

Telephone (_______) ________________________
FAX (_______) ______________________________


Ship To: (if different from billing address)
_______________________________________________________________
_______________________________________________________________
______________________________________________________________