FOR ALL QUOTATIONS OF PRICES AND ORDERS:

PRINT OUT THIS ORDER FORM AND Email or FAX IT TO (718) 292-6461  

RAPID-LITE FIXTURE CORPORATION.

MANUFACTURERS AND DISTRIBUTORS OF FLUORESCENT AND INCANDESCENT LIGHTING

Residential and Commercial Showroom 280 East 149th Street, Bronx NY 10451

rapidlite@aol.com TEL (718) 292-6460 or FAX (718) 292-6461  

PURCHASE ORDER FORM

DATE:  ________ / _________  /  20________    ORDER #:___________________________   FROM:________________________________________ 

VENDOR/P.O#: ___________________________________   ADDRESS: ________________________________________________________________

ADDRESS:___________________________________    CITY:___________________ STATE: ____ ZIP:__________ PHONE:____________________ 

ATTN:_________________________________   SHIP TO / JOB REF: _________________________________ FAX/EMAIL:_____________________

QUANTITY

CATALOG #

UNIT COST

EXTENTION

COMMENTS

 

 

        

 

 

        

 

 

        

 

 

        

 

 

        

  ORDER MEETS FREE FREIGHT REQUIREMENTS ?      YES      NO  BACK ORDERS ACCEPTED ?      YES             NO  

24 HOUR ADVANCED NOTIFICATION REQUIRED ?       YES      NO  

BACK ORDERS AUTOMATICALLY CANCELS _____  DAYS AFTER ORDER DATE  

ANY DAMAGES INCURRED DURING SHIPPING WILL NOT BE ACCEPTED. ALL ORDERS ARE TO BE PICKED UP AT 280 E. 149th St. BRONX, NY

UNLESS INDICATED OTHERWISE * DELIVERY HOURS ARE FROM 9 AM TO 4 PM MONDAY TO FRIDAY  * PLEASE CALL FOR

ANY ORDER CLARIFICATIONS OR COMMENTS. * AUTHORIZED BY:  __________________________________