ERICA ST

AM R ERICA ST
P AM R

ON
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ORDER FORM
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PLEASE PHOTOCOPY FOR FUTURE USE

PS
US

PS
AM

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E RUBBER OR ST
E RUBBER

1 BILLING INFORMATION QUOTE ONLY 2 3 WILL CALL:

ORDERED BY (NAME): @12 @4
COMPANY NAME U.S. MAIL CWR
DATE: P.O. #:
UPS UPS-COD (+$10)
CUSTOMER # (IF APPLICABLE):
PHONE # ( ) x- UPS RESIDENTIAL (+$2.20)
BILL TO:
ADDRESS FAX # ( ) UPS COLLECT
SHIPPER #:
CITY, STATE 4
E-MAIL: TAXABLE
& ZIP PLEASE INDICATE IF IT’S OKAY TO OCCASIONALLY EMAIL YOU (MUST HAVE RESALE
WITH UPDATED PRODUCT OFFERS AND PRICING LISTS RESALE CARD ON FILE)
SHIP TO: SAME AS ABOVE
ADDRESS 5 CREDIT CARD CC #
CITY, STATE CALL w/ $ TOTAL
& ZIP INVOICE MY ACCT. EXP. DATE SEC. CODE

ATTN: ROOM# OPEN A NEW ACCT. / REQUEST A CREDIT AUTHORIZATION FORM

6 7 PRE-INKED STAMPS
TRADITIONAL HAND STAMPS MECHANICAL SELF-INKERS
MOLDING

xstamper
MOLDING HANDLE PLASTIC HEAVY EZ STAMPER
MaxLight

FRAME DUTY
PEG INSP.
EZ STAMPER xstamper MAXLIGHT
OTHER
MODEL # INSPECTION POCKET PENCIL TOP OTHER
9 DATERS MODEL # 8 PLEASE NOTE IF STAMP WILL

HEAVY DUTY SELF-INKING COLOR: RED BLACK BLUE GREEN PURPLE BE USED ON A NON-ABSORBENT,
NON-POROUS, and/or SLICK SURFACE.

PLASTIC SELF-INKING 10 SPOUT 11 PADS

FOR USE WITH A STAMP PAD QTY:
INKS OFFICE USE: TOP
ROLL-ON SELF-INKER (MODEL: )
OTHER: REGULAR (SIZE: ) COLOR:
WITH WORDING -or- DATE ONLY COLOR: SIZE: QTY: OTHER QTY:
12 BAND STAMPS MODEL # 13 14 15
EMBOSSERS NAMEPLATES & SIGNS NAMEPINS & MAGICARDS
ALPHABET ALPHANUMERAL POCKET INDOOR -OR- OUTDOOR 1/8” NAMEPIN -OR- MAGICARD

NUMBERER AUTO. NUMBERER DESK 1/16” BACKGROUND COLOR

BACKGROUND COLOR
SUB
LETTER COLOR
SELF-INKING COLOR: QTY: H/D LONG REACH LETTER COLOR
BACKING:
FOR USE WITH A STAMP PAD EXTRA H/D LONG REACH W/ HOLDER DESK -OR- WALL / GOLD -OR- SILVER

16 17 18 FONT STYLE
LABELS REGULAR SPECIFY: ITALICIZED Caps & Lower Case
REMOVEABLE ALL TEMP. CENTERED OUTLINE ALL CAPS NAME:
BACKGROUND FLUSH LEFT OTHER: POINT: -or- HEIGHT:
BOLD
COLOR
LETTER COLOR FLUSH RIGHT CONDENSED 19 IMAGE SIZE: TO FIT APPROX. EXACT
IN A BORDER REGULAR MATCH
SIZE: x
HEIGHT X LENGTH SAMPLE
QTY: x 500 PER ROLL UNDERSCORE EXTENDED
20 21
COPY PLEASE PRINT OR TYPE WORDING - and/or - STAMP A SAMPLE IMPRESSION, NOTING CHANGES, IF ANY
QTY

WE ARE UNABLE TO USE FAXED ARTWORK, LOGOS, OR SIGNATURES. PLEASE SEND A HIGH RESOLUTION IMAGE BY E-MAIL OR U.S. MAIL.
22 23 24
SPECIAL INSTRUCTIONS: PROOF REQUESTED
RUSH ! W/ COPY OF SALES ORDER
TEL: (323) 582-6461 / (800) 882-0029 HUNTINGTON PARK RUBBER STAMP COMPANY
FAX: (323) 582-8046 / (800) 882-0129 2761 E. SLAUSON AVE., P.O. BOX 519 HUNTINGTON PARK, CA 90255
www.hprubberstamp.com
info@hprubberstamp.com PAGE 49