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Instructions
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Specifications & General Information Custom Imprint Order Form | Blank Stock Order Form | Singles Order Form Product Requests | Online Custom Imprint Order Form |
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Information
Required to be Processed for Production! |
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| Company: Address: City, State, Zip: Phone # (w/AC): Contact Person: Date of Order: |
_________________________________________________ _________________________________________________ _________________________________________________ ______________________ Fax #:_____________________ _________________________________________________ __________________ Email Address:_________________ |
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| Plastic Color | Black | Lime | Blue | Orange | Pink | Purple | Red | Yellow | Natural | TOTAL |
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| White Ink | + | + | + | + | + | + | + | = | ||
| Black Ink | + | + | + | + | + | + | = + | |||
| Silver Ink* | + | + | + | + | + | + | + | + | = + | |
| Gold Ink* | + | + | + | + | + | + | + | + | = + | |
| Add $35.00 each ink color change. *Additional running charge | Total Quantity Ordered | = | ||||||||
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| Check # _____________ | ||
| Credit Card # _______________________________ | Expiration Date: ____/_____ | |
| V-Code__________* | Check Type | _____ American Express _____ VISA |
| *(The V-Code is the last three- or four-digit number located on the back of your credit card on the signature panel.) | of Card | _____ Discover _____ Master Card |
| Authorized Signature:________________________________________ | ||
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| Name
on Credit Card: CC Statement Address: City, State, Zip: |
_________________________________________________ _________________________________________________ _________________________________________________ |
| MAIL or FAX to: |
| Distributors of Advertising Specialties Specifically For The Powersports Industry 515 S. Tanner St., Rantoul, IL 61866 1-800-CROWN-IT (276-9648) • Fax: 888-704-4687 E-mail: sales@crownadv.com Rev. 10/25/2011 |