Internal Order Form

Reps Name:

Repeat Number:

Customer Name:

Position:

Company Name:

Address:

Postcode:

Telephone Number:

Mobile Number:

E-mail Address:

Book Type:

Total Number of Resources:

COST:

Please complete first field for one school - if the order is for 2 schools please complete both sections below:

School 1 Details

School Delivery:

Name of School:

Postcode of School:

No of Resources to this School:

School 2 Details

School Delivery 2:

Name of School 2:

Postcode of School 2:

No of Resources to School 2:

Please write in order notes- any details you have for the customer - ie: 30 day invoice or any details if there are more than 2 schools.

Order Notes:

Confirmed by:

Confirmed Time:

Confirmation Code:

INTERNAL ORDER FORM