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Printable Fax or Mail Order Form Print this form, fill it in and Fax or Mail to Graphic Awards Graphic Awards 27 Walker Street, Norton, MA 027661 Tel: 1-508-222-7361 Fax: 1-508-xxx-xxxx
Ordered By: (Please Print) Customer Name				Ship To: (if different than purchaser) Name
Address				Address
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City____________________St___ ___Zip				City________________St_____Zip
Phone # _______________________				Recipient Tel. #
Day Tel. #				_
_ITEM #	_QTY	_ITEM DESCRIPTION			_PRICE EACH	TOTAL
		kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk
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Circle payment type: Amex _____ Visa _____ Mastercard_____ Discover					Merchandise Total	$
Credit Card No.:					Logo?* (add $20 here)	$
Exp.  Date:   Month:                Year:					Shipping & Handling	$   7.95
Please write engraving text below: *If you would like to add a logo, the cost is $20 additional. (We will call you with instructions)
					Subtotal	$
					Sales Tax at 5%	$
					Total	$
					Thanks for shopping at awardsandplaquesonline
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