GHAMAS BioDiesel Order Form

Purchaser Information:

Team Name: ______________________

Team Leader: ______________________

Phone Number: _____________________

Email Address: ______________________

Vendor Information:

Company Name: _____________________

Vendor Contact Information:

Address: _________________________________________________

Address: _________________________________________________

State: ______ City/Province: ______________ Zip Code: _______

Email: ___________________________________________________

Purchase Information:

Purchase Explanation:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Itemized List:

Item Number

Item Description

Quantity

Unit Price

Tax

Total w/ Tax

Subtotal: _______________

S&H cost: ______________

Total: _________________

Signatures:

BioDiesel Manager Signature

Finance Manager Signature

Teacher Facilitator Signature