| Home | Order
Instructions
| Imprint
Guidelines & General Information Custom Imprint Order Form | Blank Stock Order Form | Singles Order Form Product Requests | Online Order Form |
| Quantity | 50-250 | 500 | 1,000 | 2,500 | 5,000 | 10,000+ |
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| Lime,
Orange, Yellow, Pink, Purple, Natural, Red, Black, or Blue Plastic |
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| 50 Piece Minimum Order | ||||||
| All Prices U.S. Dollar | ||||||
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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 | Red | Orange | Lime | Pink | Yellow | Blue | Purple | Natural | TOTAL |
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| Quantity | + | + | + | + | + | + | + | + | = | |
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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: Address: City, State, Zip: |
_________________________________________________ _________________________________________________ _________________________________________________ |
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| Quantity of color pieces _______ @ $_______ = | $ ____________ |
| Sub Total | $ ____________ |
| State of IL add 8.50% sales tax | $ ____________ |
| Shipping/Handling | $ ____________ |
| TOTAL | $ ____________ |
| MAIL or FAX to: |
| 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 PDKSN |