RUBBER STAMP ORDER FORM

RUBBER STAMP ORDER FORM
"INTERNET SPECIAL - PSI 1854"

PLEASE FILL OUT ALL FIELDS.
 

Ink Color:   Black   Red   Blue

Justification:   Left   Center


Please indicate the desired text, font and style for your stamp:





 

Please provide complete shipping and payment information. If you want to order another stamp at the same time, you may fill in your name (must be the same name for ALL stamp orders) in the "Your Name" blank and specify "see previous order" in the shipping address blank.
 
Your Name
Full Shipping Address:
E-mail address:
Payment Method MasterCard   Visa   PayPal (use link on confirmation page)
Name on Card
Credit Card 
Billing Address:
Credit Card # ---
Expiration Date
COMMENTS:

To assist us in completing your order as efficiently as possible,
please be sure you have filled out this form completely before submitting your order.
Order will be shipped upon receipt of payment.

   
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If you prefer not to send your credit card information by e-mail, you can print out this form and fax it to (319) 643-5355; call (319) 643-4007 with your credit card information after you submit your order; or mail your order with check or money order enclosed.


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