Binders & Dust Cases Order Form

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.
 
Title
 Color Qty. Price Total
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       $      .  $      .
Sub-Total  $      .
7-3/4% IL Sales Tax  $      .
Shipping & 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:  


Please mail completed order, payment, and self-addressed stamped envelope to:
Custom Impressions, P.O. Box 2286, La Grange, IL 60525-8386
Phone: (708) 579-1447   FAX: (708) 579-1473