Warehouse Release Form

7530 DiSalle Blvd. Ft. Wayne, IN 46825
260-489-7787 Fax: 260-489-8161

Date

Requested Ship Date

WAREHOUSE RELEASE

Please enter our RELEASE for the following items and confirm receipt.

SOLD TO	SHIP TO (IF DIFFERENT THAN SOLD TO)
Name Address City State Zip Code Phone Email Address:	Name Address City State Zip Code Phone Email Address:

Comments:
RELEASED BY: Please fill out the above information, Print a copy, and then press the Submit button.

This order is subject to the TERMS and conditions of Viking Business Products Inc.
TERMS: NET 30 DAYS

Thank you for your order
If you have any questions or problems, please do not hesitate contacting us at (260) 489-7787