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ORDER FORM

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All Information Required to be Processed for Production!

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SHIP TO INFORMATION
Company: Address: City, State, Zip: Phone # (w/AC): Contact Person: Date of Order:	_________________________________________________ _________________________________________________ _________________________________________________ ______________________ Fax #:_____________________ _________________________________________________ __________________ Email Address:_________________

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Enter Quantities of Combinations Desired
Plastic Color	Black	Red	Orange	Lime	Pink	Yellow	Blue	Purple	TOTAL
White Ink		+	+	+	+	+	+	+	=
Black Ink			+	+	+	+	+	+	= +
Silver Ink		+	+	+	+	+	+	+	= +
Gold Ink		+	+	+	+	+	+	+	= +
Add $35.00 each ink color change.				Total Quantity Ordered					=

ART ORDER FORM

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