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| Art Specifications
| General Information Custom Imprint Order Form | Art Order Form | Blank Stock Order Form | Singles Order Form Product Requests | NEW! Online Order Form |
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New! ONLINE ORDERING AVAILABLE |
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| All
Information
Required to be Processed for Production! |
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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 | TOTAL |
|---|---|---|---|---|---|---|---|---|---|
| White Ink | + | + | + | + | + | + | + | = | |
| Black Ink |  |
+ | + | + | + | |
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= + | |
| Silver Ink | + | + | + | + | + | + | + | = + | |
| Gold Ink | + | + | + | + | + | + | + | = + | |
| Add $35.00 each ink color change. | Total Quantity Ordered | = | |||||||
| ART ORDER FORM |
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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: CC Statement Address: City, State, Zip: |
_________________________________________________
_________________________________________________ _________________________________________________ |
| 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. 11/12/2008 |