PURCHASES MADE IN IOWA

For purchases made in Iowa:

This form must be signed and dated by the buyer and seller prior to consummation of this sale. This form should be retained on file by the seller for a minimum of two years.

BUYER:SELLER:

Name

 

 

 

Name

 

 

 

 

 

 

 

 

 

Address

 

 

 

Address

 

 

 

 

 

 

 

 

 

City

State

Zip

 

City

State

Zip

 

 

 

 

 

 

 

Signature

 

Date

 

Signature

 

Date

10

Page 10
Image 10
Cuisinart WCH-1500 manual Purchases Made in Iowa