We can be reached at:
25/167 Soi 3 Chao Fa Road,
Phuket 83000, THAILAND.

Tel/Fax: 076-263958
Email: info@kool-mix.com
Website: www.kool-mix.com
Order Sheet
Billed to:
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Shipped to:
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Date: ___________     Purchase Order No: ___________     Terms: ___________

Quantity

Description (Flavors)

Unit Price

Amount

Box

Bottle

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Special instructions: . . .
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sub-total:

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VAT Amount:

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Buyer: .............................
Tel: .........................   Fax: .........................
Email:

Total:

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