Kilmarnock Chamber of Commerce
Purchase Order
A signed purchase order for all orders for goods and services must submitted to the
Treasurer before an order is placed.  All data blanks must be completed.  You may
mail to Jamie Alga, Box 153, Kilmarnock, Virginia 22482 or fax to 804-435-2648.  Copies
of this are on www.KilmarnockChamber.org.
Date:
Vendor:
Address:
Vendor Phone:
Description of
order:
Cost of order:
Program or event
charged (i.e.,
Scottish Fest,
Christmas parade,
etc.
When is payment
due?
Signature of
person placing
the order
Date signed by
person placing
order