Complete a quick and easy purchase order form.

vendor  Name Avalon Report Corporation Address 835 5th Avenue Suite 401 City San Diego   St  CA ZIP   92101   Phone  619-993-1334		Hotel Name  *Name *Address *City   *St AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AS GU MH MP PW PR VI *ZIP   *Phone
*Qty Units Description Published Price Price Nos. Avalon BUZZ Report = Web 2.0 > you + 5 hotels (5) 2695.00 Nos. Avalon R3 Report > you + 5 hotels (5) 3495.00 Nos. Avalon R3 Report > you + 7 hotels (7) 3895.00 Nos. Avalon R3 Report > you + 10 hotels (10) 4795.00   Sub Total      Set Up Fee      TOTAL
requested and approved by  *Name *Title *Email *Phone Number
notes/remarks
Terms & Conditions  *  I have read and agree to the Terms and Conditions which contains important information.
fields marked(*) are required.