DELIVERTO:
Name_ _____________________________________
Title________________________________________
County or City________________________________
Physical Address______________________________
_ __________________________________________
email_______________________________________
FaxNumber_ ________________________________
PhoneNumber_______________________________
METHODOFSHIPPING
Least Expensive
Must ReceiveBy “DateNeededBy” Below
_ ___________________________________
QUESTIONSORREQUESTS
_ __________________________________________
_ __________________________________________
_ __________________________________________
EasyOrder FaxForm
Fax to: 336.578.6597
INVOICETO:
Name_ _____________________________________
Title________________________________________
County or City________________________________
MailingAddress_______________________________
_ __________________________________________
email_______________________________________
FaxNumber_ ________________________________
PhoneNumber_______________________________
METHODOFPAYMENT
PurchaseOrder #: ____________________________
Bill the person listed in “INVOICETO:” section above.
ChargeTo: AMEX MasterCard Visa
Card#______________________________________
ExpirationDate:_ _____________________________
Credit CardBillingName (required):
_ __________________________________________
ItemCode
Color
Description
DateNeeded
By
Quantity Unit Price Extended
Price
CouponCode:
TOTAL:
ShippingAdditional
Returnsmust beauthorizedwithRMA# inadvance. Restocking feemayapply. Pricesandavailability subject to changewithout notice.
Store
Phone
800.232.1872
Fax
336.578.6597
INTAB
POBOX1160
MEBANENC 27302
1.800.232.1872
1.800.232.1872
1.800.232.1872
1.800.232.1872
PRESORTED
STANDARD
U.S.POSTAGE PAID
MEBANE,NC
PERMITNO.43
TM
Sticker and Badge Solutions