R I E N Z I 235 West 76th Street #3A New York, New York, 10023 T:212-799-1177 F:212-799-3709				ONLINE CATALOG www.rienzinewyork.com Email: rienziny@verizon.net
				ORDER DATE:
				CUSTOMER P.O.#
BILL TO:				SHIP TO:
T: F:				T: F:
SHIP DATE			TERMS		BUYER/CONTACT PERSON
			oNET 30 oPRE-PAYMENT (CHECK) oC.O.D.
QTY	ITEM #	DESCRIPTION			UNIT PRICE	AMOUNT
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
					$	$
NOTE:					NET TOTAL	$
					+ SHIPPING/ HANDLING	$

RETURN POLICY: MERCHANDISE MAY NOT BE RETURNED WITHOUT WRITTEN AUTHORIZATION.

BUYER’S SIGNATURE

THANK YOU!