Fill out this form, print it, and mail it in, fax it, or submit it electronically.
Be sure to sign it before you send it.

You may also phone in your order from 9:00 am to 6:00 pm mountain standard time. 10 am to 4 pm Saturdays. Phone numbers are at the bottom of this web page.

We except American Express, Visa, Master Card, Discover, check or money order.
No Cods. Thank You.

*Name*
*Address*		City
*State*		Zip.
*Phones*
*E-mail add*.

QTY.

DESCRIPTION /COLOR

ITEM NUMBER

PRICE

Add up total purchases

Sub Total
WY residents 5% sales tax.
Total due

Be sure to include payment. Check, Money Order or Credit Card.

I, (Print name as on card) OWNER, CARD HOLDER AND AUTHORIZED USER OF THE BELOW LISTED CREDIT CARD AUTHORIZE SIGNS AND STICKERS INC. TO CHARGE THIS CREDIT CARD FOR THE ABOVE PURCHASE.

Card type Card Number
Exp. Date

Click down arrow to select:

mm / yy
/

Credit Card Billing Address (if different from above)

Name

Address City

State Zip.

Phones

E-mail add.

(If you choose to fax this sheet, you agree that your faxed signature constitutes, and is as good as, your original signature.)
Card Holder Signature:___________________

(Sign Here once Fax Form is printed)

Email:
Date:

Special Instruction To Us

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Signs And Stickers Inc.
383 Curtis Street
Evansville, WY 82636

Ph. 307-237-3733
Fax 307-237-3733
click to e-mail us

(If you choose to fax this sheet, you agree that your faxed signature constitutes, and is as good as, your original signature.) Card Holder Signature:___________________

(If you choose to fax this sheet, you agree that your faxed signature constitutes, and is as good as, your original signature.)
Card Holder Signature:___________________