Cacheted
First Day Cover Order Form
Please
print out this order form, complete it, and mail it to us. At present,
we are not accepting on-line orders. Please make payment by check, money
order, or Visa or Mastercard.
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Title
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Qty. |
Price |
Total |
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Sub-Total |
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$ . |
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7-3/4% IL Sales Tax |
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|
$ . |
|
Shipping: include self-addressed
stamped envelope |
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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: |
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| 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