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["CHEMISTRY  -  EXTERNAL SUPPLIER ORDER FORM "]
[]
["All orders will be processed including VAT unless this box is ticked and VAT exempt form provided"]
["All fields below must be completed in typescript. Incomplete forms will be returned."]
["  Date of Order:",{"$nulls":6},"  Supplier:"]
[null,null,"Contact Details for Order",{"$nulls":4},"  Address:"]
["  Contact Name for Order:"]
["  Extension:"]
["  E-Mail:",{"$nulls":6},"  Fax:",null,null,null,"  Tel:  "]
[]
["Supplier\nReference","Description",{"$nulls":7},"Name of Requisitioner*","Budget Centre","Unit Price","Pack Size","Quantity","Total Cost"]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
[{"$nulls":14},0]
["PLEASE NOTE THE MINIMUM ORDER LEVEL IS £15.00 EXC VAT",{"$nulls":12},"Carriage  "]
["* This field to be completed just once if this is a single requisitioner order",{"$nulls":12},"Sub-Total:  "]
["I am using a non-approved supplier because ………………………………………………………………………………………………….",{"$nulls":12},"VAT:  ",0]
["…………………………………………………………………………………………………………………………………………………………………",{"$nulls":12},"Total Order Cost:  ",0]
[]
["BUDGET-HOLDER AUTHORISATION"]
["  Signature:",{"$nulls":5},"Print Name:"]
[{"$nulls":14},"FORM F"]