Scheffer's Supply Order Form

Name:
Business Name
Email:
Shipping Information
Address:
City:
State:	Zip:
Phone #:
Purchase Order #:
What do you need? If both toner and supplies are needed please be sure to check mark both boxes.

Toner
Machine Type:
Model #:
ID #:
Please type in quantities and colors needed:

Note: A 15% discount when ordering 3 or more.

Supplies
Please provide as much information as possible about the machine and/or type of supplies needed.

Scheffer's Office Furniture & Business Machines
Toll Free: 800-585-8541

202 S. Westwood
Poplar Bluff, MO 63901
Phone: 573-785-3060
Fax: 573-472-1293

1558 State Hwy H
Sikeston, Missouri 63801
Phone: 573-472-2422
Fax: 573-472-1293

1707 N. Mt. Auburn Ste U.
Cape Girardeau, MO 63701
Phone: 573-334-9396
Fax: 573-334-9368