Form F-13C1
FOR GOVERNMENT & GOVERNMENT RELATED AGENCIES ONLY

Yourcartridges.com NOW Accepts Purchasing Orders from government and government related agencies. Please print out the form F-13C1, fill it in, and fax it back to us at : (714)447-3820 for verification.

We offer volume discounts on all of our compatible products for purchases over $500. Receive a 3% to 5% discount on all orders.
Shipping Information:
Name of Agency:
Name of Contact: Position:
Type of Business: Tax ID Number:
Address:
City: State, Zip Code:
Term Desires: Amount:
Delivery Method: Carrier:
Item Return:
Item Code Item Description Qty.
Terms:
  • First Purchasing Order must exceed USD$500.00.
  • This is not an actual Purchasing Order which has to be faxed to us along with this form.
  • All purchasing orders must bear the following information:
    • PO number
    • Date
    • Company Name
    • Business Address,
    • Business Phone Number
    • Position and telephone number of Contact Person Authorized Signature
    Inadequate and/or unclear information may result in delay of your purchasing orders.
  • We offer 15 to 30 days payment terms subject to satisfactions at verifications
  • COD is recommended to schools when credit cards or term POs don't apply. US$1,000.00 max. per COD shipment.
  • Please fax all necessary paperwork to :(714)447-3820, Attention to Sales Dept.
  • For questions, please contact info@yourcartridges.com Terms and Conditions are subject to change without notice.
Signed by:
Signature:
Office use only:
Received By: Approval By:
Approval Date:
Please print this form and fax it back to us at (714)447-3820 for verification.
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