MSI_General_Order_Form-NonState_Agency-2020_675963_7.pdf
PDF 325 KB Posted
- Attached to
- Department of Corrections Officer Uniforms
- Contract number
- 410014-M15-JRL1041-SUP-01
- Issued by
- Wisconsin
About this file
This document is a Non-State Agency Order Form (Form CAO-980) issued by Michigan State Industries (MSI), which operates under the Michigan Department of Corrections. The form is designed for use by non-profit organizations and private companies to place orders with MSI, requiring non-profit organizations to attach a copy of their 501(c)(3) status and all companies to provide company letterhead. The form includes fields for billing and shipping information, contact details, and payment authorization through company or personal checks only.
The order form facilitates the purchase of goods and services from Michigan State Industries with specific shipping and payment terms. MSI provides free delivery within Michigan for orders over $100 when delivered via Michigan Department of Corrections fleet trucks to loading docks or secured areas within 50 feet of the delivery entrance. Orders under $100 incur a $10 freight fee, while out-of-state shipments are charged via common carrier. Payment is restricted to company or personal checks only, with orders processed through email (MSI_Order_Entry@michigan.gov) or fax (517-335-2059). The form prohibits shipments to private residences and requires all orders to be authorized with a signature before processing.
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| 1041 User Guide 7.01.2024A.pdf | ||
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| 1041 ATTACHMENT 1 FINAL 6.26.24 Embroidery Specifications.docx | DOCX document |
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Text version
MICHIGAN STATE INDUSTRIES
NON-STATE AGENCY ORDER FORM
NON-PROFIT ORGANIZATIONS PLEASE ATTACH COPY OF 501(c) 3
ATTACH COPY OF COMPANY LETTERHEAD
BILL TO: COMPANY NAME: DATE:
ADDRESS: CITY: ST: ZIP:
AUTHORIZED SIGNATURE: MUST BE SIGNED
PRINT NAME:
ORDER VERIFICATION E-MAIL ADDRESS: ______ __________________________
STATEMENT E-MAIL ADRESS: _______________________ TELEPHONE: FAX: ___________
INVOICE E-MAIL ADDRESS: __________________________
SHIP TO (IF DIFFERENT FROM BILL TO)
ITEMS WILL NOT BE SHIPPED TO PRIVATE RESIDENCE
ADDRESS: CITY: ST: ZIP:
LINE ITEM # DESCRIPTION QTY PRICE TOTAL
GRAND TOTAL:
ADDITIONAL REQUIREMENTS:
Shipping Information: MSI provides FREE DELIVERY when the delivery meets the following criteria: Order totals more than $100, delivery is within the State of Michigan, delivery is via MDOC fleet trucks, delivery is drop shipped to a loading dock or secured area within 50 feet of the delivery entrance of the customer’s “Ship To” address. For additional assistance contact MSI Sales Dept. at 517-335-3771. Orders shipped Out-Of-State will be assessed shipping charges via a common carrier. PLEASE NOTE: Orders less than $100 will be charged a $10.00 freight fee and added to the invoice.
Visit MSI at: www.michigan.gov/msi Mail Checks To:
Michigan State Industries, GVP 5th Floor 206 E. Michigan Ave.
Lansing, MI. 48933
SALES REPRESENTATIVE
(Form CAO-980)
METHOD OF PAYMENT
COMPANY/PERSONAL CHECK ONLY
EMAIL ORDERS TO: MSI_Order_Entry@michigan.gov
FAX ORDERS TO: (517) 335-2059
Questions? Contact MSI Sales Dept. at (517) 335-3771 mailto:MSI_ORDER_ENTRY@michigan.gov mailto:MSI_ORDER_ENTRY@michigan.gov
| BILL TO COMPANY NAME: |
| ADDRESS: |
| CITY: |
| ST: |
| ZIP: |
| PRINT NAME: |
| STATEMENT EMAIL ADRESS: |
| TELEPHONE: |
| FAX: |
| INVOICE EMAIL ADDRESS: |
| ADDRESS_2: |
| CITY_2: |
| ST_2: |
| ZIP_2: |
| ITEM Row1: |
| DESCRIPTIONRow1: |
| QTYRow1: |
| ITEM Row2: |
| DESCRIPTIONRow2: |
| QTYRow2: |
| ITEM Row3: |
| DESCRIPTIONRow3: |
| QTYRow3: |
| ITEM Row4: |
| DESCRIPTIONRow4: |
| QTYRow4: |
| GRAND TOTAL: 0 |
| ADDITIONAL REQUIREMENTS: |
| SALES REPRESENTATIVE: |
| Authorized Signature: |
| Order Verification e-mail address: |
| TOTALRow2: 0 |
| TOTALRow3: 0 |
| TOTALRow1: 0 |
| TOTALRow4: 0 |
| Line2: |
| Line3: |
| Line1: |
| Line4: |
| PriceRow1: |
| PriceRow2: |
| PriceRow3: |
| PriceRow4: |
| DATE: |
| Check Box1: Off |
| Check Box2: Off |
File details come from the government source that posted it. Updated .