ORDER FORM
DATE ____/ ____/ ____ P.O. #: ___________________________
ORDERED BY: _________________________________________
COMPANY: ____________________________________________
E_MAIL: ______________________________________________
SHIPPING ADDRESS: ____________________________________
______________________________________________________
_________________________________ ZIP: ________________
MAILING ADDRESS: _____________________________________
______________________________________________________
___________________________________ ZIP: ______________
PHONE: (______) _______-_________
FAX: (______) _______-_________
SHIP ATTENTION TO: ____________________________________
DATE NEED ORDER DELIVERED BY: _____________
...................................................GAGE ................. IMPRINT
....................QUANTITY................COLOR...................COLOR
BG/2....________________________________________________
MG/4....________________________________________________
SG/1....________________________________________________
CG/1....________________________________________________
CT/1....________________________________________________
PG/1....________________________________________________
PG/2....________________________________________________
RG/1...________________________________________________
WG/1..________________________________________________
DG/1...________________________________________________
BBG/1.________________________________________________
TSG/1.________________________________________________
IMPRINT INFORMATION FOR NEW DIE:
TOP LINE: _____________________________________________
LOWER LINE: __________________________________________
EXISTING DIE ON FILE: YES_____ NO _____
LOGOS MAY REQUIRE CAMERA-READY ART.
ALLOW 3 WEEKS FOR NEW DIES.
PAYMENT IN ADVANCE FOR ALL NEW ORDERS.
GAGES (TOTAL) . . . . . . . . . . . . $_______________
SHIPPING - U.P.S. . . . . . . . . . . . $_______________
TOTAL . . . . . . . . . . . . . . . . . . . . $_______________
REPEAT CUSTOMERS: NET 30 DAYS.
CALIFORNIA CUSTOMERS PLEASE INCLUDE SALES TAX,
OR SUPPLY CALIFORNIA RESALE NUMBER.
To place an order please do one of the following:
1) Print this "Order Form" and fill-in requested info,
then fax to (818) 998-1521; or
2) e-mail your order to sorrellmfg@popemold.com or
3) please call Veronica at (818) 998-4250
When we receive your order, we will send you a sample invoice
to confirm your order and the amount due
including shipping charges (all orders shipped U.P.S.).
Sample Packs of products are available.
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