Quick wholesale order form

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Tourist
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Does anyone know of a good app that can create a form similar to attached?

 

Screen Shot 2020-05-13 at 10.55.00 am.png

 

This form will not go through checkout

 

The form will be filled out by wholesalers - sent to email - then the wholesaler is biller later.

 

products are ordered in bulk. A wholesale price per box of 12, 20 or 24units per box.

 

Brendan

 

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