| Date of Order: | %DATE_OF_ORDER% | PO #: | %PO_NUMBER% | ||||
| Dealership Name: | %DEALERSHIP_NAME% | Salesperson Name: | %SALESPERSON_NAME% | ||||
| Salesperson SS #: | %SALESPERSON_SS_NUMBER% | E-Mail: | %EMAIL% | ||||
| Mailing Address: | %MAILING_ADDRESS% | ||||||
| City: | %CITY% | State: | %STATE% | Zip: | %ZIP% | Contact Phone #: | %CONTACT_PHONE_NUMBER% |
| Model # | Quantity | Reward | Subtotal | Model # | Quantity | Reward | Subtotal |
| Endure Task | %ENDURE_TASK_QTY% | x $%ENDURE_TASK_UNIT_PRICE% | %ENDURE_TASK_PRICE% | X-Treme | %XTREME_QTY% | x $%XTREME_UNIT_PRICE% | %XTREME_PRICE% |
| Connect | %CONNECT_QTY% | x $%CONNECT_UNIT_PRICE% | %CONNECT_PRICE% | Elevate | %ELEVATE_QTY% | x $%ELEVATE_UNIT_PRICE% | %ELEVATE_PRICE% |
| Image | %IMAGE_QTY% | x $%IMAGE_UNIT_PRICE% | %IMAGE_PRICE% | Embrace | %EMBRACE_QTY% | x $%EMBRACE_UNIT_PRICE% | %EMBRACE_PRICE% |
| Perfect | %PERFECT_QTY% | x $%PERFECT_UNIT_PRICE% | %PERFECT_PRICE% | Elude | %ELUDE_QTY% | x $%ELUDE_UNIT_PRICE% | %ELUDE_PRICE% |
| Multi-Shift | %MULTI_SHIFT_QTY% | x $%MULTI_SHIFT_PRICE% | %MULTI_SHIFT_PRICE% | Engage | %ENGAGE_QTY% | x $%ENGAGE_UNIT_PRICE% | %ENGAGE_PRICE% |
| Finesse | %FINESSE_QTY% | x $%FINESSE_UNIT_PRICE% | %FINESSE_PRICE% | Air Mesh | %AIR_MESH_QTY% | x $%AIR_MESH_UNIT_PRICE% | %AIR_MESH_PRICE% |
| Stackable | %STACKABLE_QTY% | x $%STACKABLE_UNIT_PRICE% | %STACKABLE_PRICE% | Ovation | %OVATION_QTY% | x $%OVATION_UNIT_PRICE% | %OVATION_PRICE% |
| Touch | %TOUCH_QTY% | x $%TOUCH_UNIT_PRICE% | %TOUCH_PRICE% | Ovation Side Chair | %OVATION_SIDE_CHAIR_QTY% | x $%OVATION_SIDE_CHAIR_UNIT_PRICE% | %OVATION_PRICE% |
| Memory | %MEMORY_QTY% | x $%MEMORY_UNIT_PRICE% | %MEMORY_PRICE% | Breathe | %BREATHE_QTY% | x $%BREATHE_UNIT_PRICE% | %BREATHE_PRICE% |
| Grand Total | $ %GRAND_TOTAL% |
Conditions of Rewards:
Rewards will be paid based on standard discount nets from Sitwell’s April 1,2011 Price List
A Rewards Coupon must be filled out completely for each individual purchase order and must be accompanied with a copy of the dealer
Purchase Order to Sitwell for verification purposes
Reward Coupons received 90 days after the original purchase order will not be honored
Fax coupon to: (562)229-0230 E-mail Coupon to: sales@sitwell.com