Ketua Bendahara
Mengetahui,
Waktu Penyerahan : ............... hari/ minggu/ bulan* dengan jumlah barang .......................
(Apabila memesan)
Harga : ......................................................................................................
(Dirinci sesuai bahan ......................................................................................................
Dan jasa) ......................................................................................................
......................................................................................................
......................................................................................................
Kapasitas Produksi : .......................per hari/ bulan/ tahun*
Jumlah Min. Pesanan : .......................
Syarat Pembayaran : ......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
Garansi : ...............................tahun/bulan/minggu*
......................,................................
Pimpinan/ Bagian Produksi
....................................