ORDER FORM NEW! ONLINE ORDER FORM

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Quantity	250	500	1,000	2,500	5,000	10,000+
Lime, Orange, Yellow, Pink, Purple, Red, Black, or Blue Plastic	$ .90	$ .85	$ .80	$ .75	$ .70	$ .65
For Less Than 250, Go To Online Ordering.
All Prices U.S. Dollar

Enter Quantities of Colors Desired
Plastic Color	Black	Red	Orange	Lime	Pink	Yellow	Blue	TOTAL
Quantity		+	+	+	+	+	=

PAYMENT METHOD
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:________________________________________

BILL TO INFORMATION
Name on Credit Card: Address: City, State, Zip:	_________________________________________________ _________________________________________________ _________________________________________________

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