OUTBOARD MOTOR INFORMATION - INTERNAL USE ONLY

SECTION A - TO BE COMPLETED BY EMPLOYEE
ORDER TYPE		DEPARTMENT #:
DEALER # (IF APPLICABLE):		ACCOUNT #:
ACTION APPROVAL NAME & # (IF APPLICABLE):
DESCRIPTION OF USAGE:
PURCHASER INFORMATION (INFORMATION REQUIRED FOR REGISTRATION AND ELIGIBILITY CONFIRMATION)
SUZUKI COMPANY (IF APPLICABLE):
EMPLOYEE #:
EMPLOYEE EMAIL:
COMPLETE LEGAL NAME OF PURCHASER:
PHYSICAL ADDRESS OF PURCHASER:
OUTBOARD MOTOR INFORMATION
ENGINE HP CATEGORY:
MODEL NAME:
QUANTITY:
SECTION B - TO BE COMPLETED BY SALES DEPARTMENT
DEALER NET INVOICE / STANDARD PRICE:
MODEL NAME:
DISCOUNT AMOUNT:
PRODUCT PRICE (SUBTOTAL):
SHIPPING WAREHOUSE:
DEALER # AND DEALER NAME:
DEALER ADDRESS (CITY, STATE, ZIPCODE):
SECTION C - TO BE COMPLETED BY LOGISTICS DEPARTMENT
ADDITIONAL CHARGES
TAX:
DESTINATION FEE:
OTHER FEES:
APPROVALS BY SUZUKI MARINE USA, LLC
	APPROVER EMAIL	DATE APPROVED
REPORTING MANAGER:
DEPARTMENT MANAGER:
LOGISTICS MANAGER:
VICE PRESIDENT:
EXECUTIVE VICE PRESIDENT:
ACCEPTANCE OF FINAL ORDER PRICE (TO BE SIGNED LAST)
PURCHASER EMAIL		DATE APPROVED