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Order Processing Form
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Please fill in the information and submit to send information about the order.
Order Processing
Special Instructions
AQ Quote Name
DSR
Customer
Customer #
Date
Time
Ship Date
Ship To
Customer Name
Attention
Street Addr
City, State Zip
Site Information
Site Street Addr
Site City, State, Zip
Site Contact
Bill To
Customer Name
Street Addr
City, State, Zip
Phone #
Fax #
Email
Sell
Cost
Freight
Tax
Grand
Rep To Deliver?
Select...
Yes
No
CPU at RAP location?
Select...
Yes
No
Residential
Select...
Yes
No
Liftgate service?
Select...
Yes
No
Call prior
Select...
Yes
No
Contact name
Contact number
Residential Charge Collected?
Select...
Yes
No
Liftgate Charge Collected?
Select...
Yes
No
Advised to inspect?
Select...
Yes
No
Do PO's need to be sent to Branch's Rep group in lieu of direct to Mfg?
Select...
Yes
No
Tax Exempt
Select...
Yes
No
Payment Terms
Select...
NET0
NET15
NET30
NET45
NET90
Apply To Credit
5th 3rd prox
FB
RTC
SPEC
AIA
CC
Additional Documents Needed
Signed & Dated Purchase Order
Signed Contract
Manufacturer Summary
Quote Spreadsheet (if flipping)
Pre-Bid Check List
Tax Exempt
Check (Deposit for Contract)
Signed & Dated Quote
Name on card
Billing address
Phone #
Mfg Quote Provided?
Select...
Yes
No
Upload Mfg Quote Files
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