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American International Consultants 445C East Cheyenne Mountain Blvd. #334 Colorado Springs, CO 80906 800-778-8577 FAX 719-576-2790
Internet: http://www.bizforms.com
E-mail: bizforms@adelphia.net |
| Order Form - Always Save At Least 10% |
| Item Description | Paper/Ink Color | # of Parts | Quantity | Unit Cost | Amount |
| | | | | | |
| | | | | | |
| | | | | | |
| Logo Charge (1 Time Charge For Original Artwork) | | $15.00 | |
| Starting Check or Form #: | | Continuous | | Laser | ********* |
| Additional Ink Colors (If Any): | ********* |
| Imprint Instructions: | ********* |
| Software Name & Version: | ********* |
| Font Style & Size (If Non-Standard): | ********* |
| Special Artwork (If Any): | ********* |
| Bank Instructions (If Any): | ********* |
Please attach original artwork, if any. Be sure to attach VOID check or MICR spec sheet on 1st time check orders. | Merchandise Total | |
CO Residents Only: Please add 7.4% (El Paso County) or 2.9% Sales Tax to the Merchandise amount. | CO Sales Tax | |
| A $2 handling charge is added for faxing order confirmations to the customer and orders, void checks & artwork to the printer. | Handling Charge | $ 2.00 |
Please call for a quotation on overseas or air freight shipments. Be sure to list your street address rather than a P.O. Box. | Order Subtotal | |
Orders are shipped by UPS Ground unless you request otherwise. Estimated Freight - 500 1 Part Forms - $8.50, 1000 1 Part Forms - $12.50 | Estimated Freight | |
Payment of customs duties, if any, on foreign orders are the responsibility of the recipient. Thank you for your order. | Total Amount | |

CONTACT ___________________________________________________

COMPANY NAME _____________________________________________

STREET ADDRESS ____________________________________________

CITY _______________________________ STATE/PROV ____________

ZIP/POSTAL CODE _________ COUNTRY _________________________

PHONE # ______________________ FAX # ________________________

PAYMENT BY: CHECK AMERICAN EXPRESS DISCOVER MASTERCARD VISA

NAME ON CREDIT CARD ________________________________

3 DIGIT SECURITY CODE (On Back) _____

CARD # | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | EXPIRATION DATE ____/____

I Hereby Certify That I Am Authorized To Charge
Company Purchases To The Credit Card Listed Above:

Signature _____________________________ Date ___________________
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