 |
FAX ORDER FORM TO 305-592-4647 |
|
|
5371 NW 79 Ave, Miami, FL 33166 Ph: 305-592-4646 • Fax: 305-592-4647 |
INSTRUCTIONS: Print this form, fill in information, then fax or mail to Action Printing, Inc. | |
| SOLD TO: | ||
| Firm Name |
 |
|
| Your Name |
|
|
| Address |
|
|
| City |
|
|
| State / Zip |
|
|
| Phone Number |
|
|
| Fax Number |
|
|
| E-mail: |
|
|
| METHOD OF PAYMENT: | ||
| Select Card |
 VISA
M/C
AMEX |
|
| Card Number |
- - - |
|
| Expiration Date |
|
|
| Card Holder Name |
|
|
| Card Holder Address |
|
|
| Signature |
|
|
| SHIP TO: (If Different Than Bill To - No PO Boxes) | ||
| Firm Name |
|
|
| Your Name |
|
|
| Address |
|
|
| City |
|
|
| State / Zip |
|
|
| METHOD OF SHIPPING: | ||
| All prices are FOB factory. | ||
|
|
Standard ground service. | |
|
|
Authorization for Overnight Shipments | |
| DELIVERY DATE: | ||
|
|
Deadline date: |
|
|
|
ASAP
|
|
| ADDITIONAL INFORMATION: | |
|
|
|
|
|
|
|
|
|
| PLEASE SHIP THE FOLLOWING ITEMS: | ||||||||||||||
| ITEM NO. | QTY | DESCRIPTION | ITEM COLOR | IMPRINT COLOR | EA | AMOUNT | ||||||||
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
||||||||
| PRICES SUBJECT TO CHANGE WITHOUT NOTICE |
SUBTOTAL |
|
||||||||||||
|
Setup Charges |
|
||||||||||||
Florida Res. Add 7% sales tax |
|
|||||||||||||
TOTAL EXCLUDING SHIPPING |
|
|||||||||||||
Shipping charges (leave blank) |
|
|||||||||||||
| TOTAL |
|
|||||||||||||
| IMPRINT INFORMATION | |
| Please print or type clearly copy desired below. For more information consult online customer support pages or call us. | |
| |
|
|
|
|
|
|
|
|
|
|
|
|
|