STEM PO Submission

1
Date
Date
Year
Month
Day
2
Your Name:* This field is required.
First Name
Last Name
3
Email Address:* This field is required.
Email
4
Do you have a store account with us?Please visit store.flitetest.com to create an account
YESNO
5
Location* This field is required.
6
Phone Number:* This field is required.
Area Code
Phone Number
7
Purchase Order TotalNOTE: shipping charges will be applied to the order. If you need to know calculated shipping charges prior to ordering, please reach out to us at
Minimum $200
8
Payment* This field is required.Please select type of payment
Offline Payment (Check, Wire Transfer)
Online Checkout (Credit Card, PayPal, etc.)
Offline Payment (Check, Wire Transfer)
9
Payment Due
Date
Year
Month
Day
10
Click to upload the PURCHASE ORDER
Drag and drop files here
Select files to upload
Max. file size: 48.8MB
Cancelof
11
Tax exempt?* This field is required.We will ask for an exemption certificate if answer is Yes
YESNO
12
Click to upload the TAX EXEMPTION CERTIFICATEOPTIONAL
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
13
Tags
Todo
In Progress
Done
Should be Empty: