Safepass Purchase Order Form

Reference Number:

Order Date:

Contact Person:

Company Name:

Billing Address:

Shipping Address:

Phone Number:

Email Address:

PRODUCTS FOR PURCHASE:

SafePass IDS Unit........ $15,000.00

SafePass Mini w/ Stand and Remote Monitor....... $4,650.00

SafePass IDS Sanitizer Solution 5 Gallon Container…….. $78.00

SafePass IDS Sanitizer Solution Case of 24 (5 Gallon Container) …….. $1,776.00

SafePass Hand Sanitizer 1 Gallon …… $65.00

SafePass Hand Sanitizer Case of 48 (1 Gallon Container) ……. $2,880.00

SHIPPING:

A quote will be prepared based on the delivery address and by your choice of freight carrier Type:
The IDS units are shipped from Malaysia. Buyer is responsible for all shipping cost.

Freight Choose Carrier Type

THE FOLLOWING ADDITIONAL TERMS AND CONDITIONS APPLY TO THIS ORDER:

1. Shipping Terms for Air Freight: Carriage Paid to Seller's port
2. Shipping Terms for Sea Freight: FOB - Seller's port
3. Default Shipping Mode unless otherwise specified: Ocean Freight
4. Payment Terms: Payment via terms above upon submission of Proper invoice and bill of lading.