Completed on buyer's letterhead
Date:................................
We the undersigned (NAME OF BUYER OR COMPANY) hereby state and represent that it is our
corporate intention to purchase the commodity / product ................... in the quantity and for the
price as specified in the terms and conditions as stated below. This representation is made with full corporate
authority and also responsibility of the above stated buyer.
Commodity / Product:
Origin:
Specifications:
Quantity:
Packaging:
Delivery Size And Schedule:
Mode of payment:
FOB &CIF target price:
Destination Port Discharge Rate Per Day:
Inspection:
Guarantee:
Documents:
Buyer’s Information
Company Name
Corporate Address:
City
Zip / Postal Code
Country:
Company phone
Company Fax:
E-Mail
Legal Representative:
Name / Title:
Buyer’s Bank Information
Bank Name
Address:
City
Zip / Postal Code
Country:
Bank phone
Bank Fax:
E-Mail
Bank Telex
Swift Code:
Bank Officer’s Name/ Title/ Direct phone
&
Fax:
Account Name/Number:
Confirming bank coordinates (if any):
Banks name
address:
City
zip / postal code
country:
Int'l trade dept. Tel
&
Fax:
Bank officer’s name/ title/ direct phone
&
fax:
We understand that any and all offers and/or contracts are subject to successful seller verification of funds availability. We hereby give our written permission for the seller to conduct a soft probe of our account.
Buyer's full name
&
company seal ___________
Position:
___________________________________
Signature and typed full name.
