PGM-Pro Inc.
5041 Heintz St
Baldwin Park, CA 91706
Tel. 888-818-1991; Fax 626-338-1995
www.pgmdressform.com
Purchase Order Form
Your P.O.#:
Item # Item Description Unit Price Qty. Amount
 Total: USD $
BUYER INFO:
Contact Person:
Company Name:
Address:
City: State:
Zip: Country:
Phone: Fax:

SHIP TO:
Contact Person:
Company Name:
Address:
City: State:
Zip: Country:
Phone: Fax:
Signature: Date: