NAME: ___________________________________ E-MAIL: ______________________ DATE:____________
ADDRESS: ___________________________________________________________________________
CITY: ____________________________________ STATE:________ ZIP CODE:______________
Here's How To Order! Brass plates
are marked on one side only. Choose inscription, clipart and font.
PAGE # and CLIPART LETTER Required for proper
clip selection. Attach a description
on a seperate sheet if necessary.
Forget which letter goes with which plate?
Go HERE!
PLATE LETTER:
A= 1 3/4" x 3" $6.00
B= 1" x 2 1/2" $5.00 (A & B avail. with or without (2)
1/8" holes centered on each end)
C= 7/8" x 2 1/2" (Scalloped Corners) $5.00
D= 1 3/4" x 3" (Luggage Strap) $7.00
PLATE #1 _____________________________________________________________
(Inscription)
Plate Letter _____ Clipart- Page#_____
Clip Letter_____ Font_______ Holes?(Y/N)_____
PRICE FOR THIS PLATE $
_
PLATE #2 _____________________________________________________________
(Inscription)
Plate Letter _____ Clipart- Page#_____
Clip Letter_____ Font_______ Holes?
(Y/N)_____
PRICE FOR THIS PLATE $
_
PLATE #3 _____________________________________________________________
(Inscription)
Plate Letter _____ Clipart- Page#_____
Clip Letter_____ Font_______
PRICE FOR THIS PLATE $
_
PLATE #4 _____________________________________________________________
(Inscription)
Plate Letter _____ Clipart- Page#_____
Clip Letter_____ Font_______
PRICE FOR THIS PLATE $
_
TOTAL FOR ALL PLATES BEING ORDERED $ _
SHIPPING @ $.50 (FIFTY CENTS) PER PLATE $
_
(NUMBER OF PLATES TIMES FIFTY CENTS EACH)
TOTAL AMOUNT ENCLOSED $ _
PLEASE NOTIFY ME OF SPECIAL OFFERS AND NEW PRODUCTS FROM MICHIGAN LASERMARK!