Print and Fax to (423-349-5750) "or" Mail Order:
Name: ___________________ Telephone: ____________________
Address: ________________ Fax: _________________________
_________________________ Email: ________________________
Item No. ___________
Description: ______________________________________________
Design: ___________________________________________________
Quantity: ___________ __________ __________
Ink Color: _______________
Verse: (If applicable, please attach a separate sheet.)
Method of Payment: Name as it appears on Credit Card
VISA ________________________ ___________________________________
MC __________________________ Billing Address: (If not same as above)
AMEX ________________________ ___________________________________
Discover ____________________ ___________________________________
Expiration Date ____________
Special Instructions: (Please put on second sheet, same as verse.)
Preferred Method of Shipping: Next Day Second Day UPS Ground
Shipping Address (If not the same as above) _________________________
_____________________________________________________________________
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