Special Order Form FacebookThis field is for validation purposes and should be left unchanged.Customer Information: Name(Required)LocationPurchase Order NumberRepresentativeProduct Information:Quotation Number (Where Applicable)Model NumberDescriptionThe product specified above has been classified as a “SPECIAL ORDER” item. The item is NON-CANCELLABLE and NON-RETURNABLE, without the express written consent of ZLEDLighting. Your signature below, acknowledges that you understand these terms and conditions and authorizes ZLEDLighting to begin production on the above noted item(s). NOTE: This form must be accompanied by a purchase order before form can be accepted. Authorization Information:Company NameDate MM slash DD slash YYYY Print NameSignatureFor Internal Use Only: ZLEDLighting (Factory)Authorized ByDate MM slash DD slash YYYY Δ