Fillable SALES RECEIPT (Microsoft)

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SALES RECEIPT (Microsoft)

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File type: PDF

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Distributor Copy - Must complete both copies
Ordered By:
Purchaser Name
Contact Name
Address
Zip Code
Phone
E-mail
Your Vollara Independent Distributor is:
Distributor / Seller Name
Distributor No.
Address
Zip Code
Phone
E-mail
Item Description Quantity Unit Price Amount
Sub-total
Sales Tax
Shipping
Total
Purchaser’s Signature
Notice to the Buyer:
You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation form for
an explanation of this right. Buyer acknowledges receipt of a completed copy of this sales agreement. I acknowledge receipt of an verbal explanation of my rights to cancel this sale.
Purchaser’s Signature (do not sign unless you wish to cancel)
Date of Sale
SALES RECEIPT
FRM_SR_65-00516_VA-00536_0514
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signature
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signature
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Notice to the Buyer:
You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation form for
an explanation of this right. Buyer acknowledges receipt of a completed copy of this sales agreement. I acknowledge receipt of an verbal explanation of my rights to cancel this sale.
Purchaser’s Signature (do not sign unless you wish to cancel)
FRM_SR_65-00516_VA-00536_0514
Date of Sale
Customer Copy
Ordered By:
Purchaser Name
Contact Name
Address
Zip Code
Phone
E-mail
Your Vollara Independent Distributor is:
Distributor / Seller Name
Distributor No.
Address
Zip Code
Phone
E-mail
Item Description Quantity Unit Price Amount
Sub-total
Sales Tax
Shipping
Total
Purchaser’s Signature
SALES RECEIPT
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signature
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signature
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Notice of Cancellation
Buyer name _____________________________________________________________________Buyer Phone# __________________________________
Distributor name ________________________________________________________________ Distributor ID# __________________________________
I HEREBY CANCEL THIS TRANSACTION.
Date _______________________________________ Buyer’s Signature ____________________________________________________________________
(DO NOT SIGN HERE UNLESS YOU WISH TO CANCEL)
You may cancel this transaction, without any penalty or obligation,
within three business days (five business days in Alaska) (15
business days in North Dakota for buyers 65 years of age or older)
from the above date.
If you cancel, any property traded in, any payments made by you
under the contract or sale, and any negotiable instrument executed
by you will be returned within 10 business days following receipt
by the seller of your cancellation notice, and any security interest
arising out of the transaction will be cancelled.
If you cancel, you must make available to the seller at your
residence, in substantially good condition as when received, any
goods delivered to you under this contract or sale; or you may if
you wish, comply with the instructions of the seller regarding the
return shipment of the goods at the seller’s expense and risk.
If you do make the goods available to the seller and the seller does not
pick them up within 20 business days (10 business days in New Jersey)
of the date of your notice of cancellation, you may retain or dispose of
the goods without any further obligation. If you fail to make the goods
available to the seller, or if you agree to return the goods to the seller
and fail to do so, then you remain liable for the performance of all
obligations under the contract.
To cancel this transaction, mail or deliver a signed and dated copy of
this cancellation notice or any other written notice, to VOLLARA LLC,
Attn: Customer Service, 300 East Valley Drive, Bristol, VA 24201, or
send an email to customerservice@vollara.com no later than midnight
of the _____________________________________________.
Notice of Cancellation
Buyer name _____________________________________________________________________Buyer Phone# __________________________________
Distributor name ________________________________________________________________ Distributor ID# __________________________________
I HEREBY CANCEL THIS TRANSACTION.
Date _______________________________________ Buyer’s Signature ____________________________________________________________________
(DO NOT SIGN HERE UNLESS YOU WISH TO CANCEL)
You may cancel this transaction, without any penalty or obligation,
within three business days (five business days in Alaska) (15
business days in North Dakota for buyers 65 years of age or older)
from the above date.
If you cancel, any property traded in, any payments made by you
under the contract or sale, and any negotiable instrument executed
by you will be returned within 10 business days following receipt
by the seller of your cancellation notice, and any security interest
arising out of the transaction will be cancelled.
If you cancel, you must make available to the seller at your
residence, in substantially good condition as when received, any
goods delivered to you under this contract or sale; or you may if
you wish, comply with the instructions of the seller regarding the
return shipment of the goods at the seller’s expense and risk.
If you do make the goods available to the seller and the seller does not
pick them up within 20 business days (10 business days in New Jersey)
of the date of your notice of cancellation, you may retain or dispose of
the goods without any further obligation. If you fail to make the goods
available to the seller, or if you agree to return the goods to the seller
and fail to do so, then you remain liable for the performance of all
obligations under the contract.
To cancel this transaction, mail or deliver a signed and dated copy of
this cancellation notice or any other written notice, to VOLLARA LLC,
Attn: Customer Service, 300 East Valley Drive, Bristol, VA 24201, or
send an email to customerservice@vollara.com no later than midnight
of the _____________________________________________.
65-00470
(Customer Copy)
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SALES RECEIPT (Microsoft)

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Completed 19 December 2020

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