Purchase Order Form Template

• P.O. Date

  Date

• P.O. Number

• Company Name

• Business Address
  Address

• Contact Number

• Email Address

Vendor

• Company Name

• Business Address
  Address

• Contact Number

• Contact Name

Ship To

• Company Name

• Shipping Address
  Address

• Billing Address same as Shipping Address?

  Yes

  No
• Billing Address
  Address

• Contact Number

• Contact Name

• Requested By

• Shipping Method

• Ship Via

• Shipping Terms

• F.O.B. (Free on Board)

• Payment Terms

• Delivery Date

  Date

• Reference

Item

• Item Number

• Item Description

• Quantity

• Unit Price

• Line Total

Total

• Subtotal

• Discount

• Subtotal with Discount

• Tax Rate (%)

• Tax

• Shipping & Handling

• Total

Form Completion

• Notes, Comments, Instructions

• Approved by

  Sign