Please print out this order form, complete it, and mail or fax it to us. At present, we are not accepting on-line orders. Please make payment by check, money order, or Visa or Mastercard.
 

Cat #	Item	Price	Total
		$      .	$      .
		$      .	$      .
		$      .	$      .
		$      .	$      .
		$      .	$      .
		$      .	$      .
		$      .	$      .
		$      .	$      .
		$      .	$      .
	Sub-Total		$      .
	7-3/4% IL Sales Tax		$      .
	Shipping and handling		$      .
	Total Enclosed (please make checks payable to Custom Impressions)		$      .

 
Credit Card Information:

Visa	Number:	Exp. Date:     /
Mastercard	Number:	Exp. Date:     /

Shipping Address:

Name:
Address:
City/State/Zip:
Country: