Recoverytta.com

RecoveryTTA Merchandise Request Order Form

Order Request Form

Merchandise Requested:

Please Fill In all the Catagories of Merchandise Requested: Example: Laptops, Severs, Desktops.

Merchandise Requested*

Quantity:

Quantity Available:

Tons

Pounds (Lbs)

Skids

Pieces (Pcs)

All Quantity

Buyer Information:

Please Fill In all the Required Buyer Information for your Requested Order.

Previous buyer

Yes

Buyer Name*

First

Last

Buyer Email:*

Buyer Address:*

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Buyer Phone Number:*

###

####

Buyer fax Number ( Optional)

###

####

Shipping Methods:

Please fill In the appropriate shipping Methods for your Request.

Shipping Service

Sea Freight

Air Freight

Flat Rate Mail

Priority Rate Mail

Pick Up

Container Sizes

20ft

40ft

Port service

Door to Door

Door to Port

Insurance Quote

Yes

Consignee Information:

Please fill In the Appropriate Consignee Information for Collection of Arriving Order

Consignee Name:

First

Last

Consignee Address:

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Consignee Email:

Consignee Phone Number:

###

####

Consignee Fax Number ( Optional )

###

####

Special Packing:

Please Fill in any additional information for packing satisfaction or instructions.

Special Packing Instuctions:

Agreement:

Due to high volume of Potential Client Inquires. One Purchase Order will be issued with expiration of five business days. Potential Clients shall be allowed two unpaid invoices in a three month period.

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