| Invoice to: | Ship to (if different from invoice): |
| Company: ________________________________ | Company: ________________________________ |
| Name: ___________________________________ | Name: ___________________________________ |
| Address 1: _______________________________ | Address 1: _______________________________ |
| Address 2: _______________________________ | Address 2: _______________________________ |
| City: ___________ State: ____ Zip: ________ | City: __________ State: ____ Zip: _________ |
| Tel: ________________ Fax: ________________ | Tel: ________________ Fax: ________________ |
| Email: ___________________________________ | Email: ___________________________________ |
| Method of Payment (Check or Credit Card): Note: Corp. Check is for established accounts only |
|
| ___ Corporate Check Payment | Purchase Order No: ________________________ |
| ___ Credit Card Type: __VISA __MC __AMEX | Name of Card Holder: ______________________ |
| Card No: ________/________/________/________ | Exp Date: ____________ |
| Card Holder's Street No (Digits only): ____________ | Card Holder's Zip Code: ____________ |
| Security Code: ______ Visa/MC: 3-digit on backside,
AMEX: 4-digit on front side. |
| Item | Item No | Description | Quantity | Cost Each | Qty x Cost |
| 1 | |||||
| 1 | For imprint: | add imprint charge per piece | |||
| 1 | For imprint: | add corresponding setup charge | |||
| 2 | |||||
| 2 | For imprint: | add imprint charge per piece | |||
| 2 | For imprint: | add corresponding setup charge | |||
| 3 | |||||
| 3 | For imprint: | add imprint charge per piece | |||
| 3 | For imprint: | add corresponding setup charge | |||
| Subtotal | |||||
| CA Destination sales tax will be added | >>>> | Sales Tax | |||
| S&H | Will add | ||||
| >>>> | Grand Total | Will calculate |
| TERMS: New accounts, prepayment/credit is needed (we accept VISA, MC, AMEX). Established accounts, net 30 days. Orders over $5,000, 50% deposit required, unless agreed. 5% overrun/underrun is considered Industry Standard and considered complete order, billed accordingly. Late payments are subject to2% late fee per month. Imprint orders cannot be canceled or returned (unless, of course, product is defective. While we strive to replace defective imprinted items with imprinted items, it is acceptable to replace with unimprinted ones. Return of orders is subject to a 20% restocking fee. Authorization number must be obtained before returning any merchandise. Lead Time: Indicated per individual item. In any event, our maximum liability is only for the total cost of order and we are not liable for any secondary costs. Freight delays are out of our control and we cannot be liable for. |
| I ACCEPT THE TERMS OF THIS ORDER FORM. Terms of sales of World Premium Promotions, Inc. as summarized above will prevail over terms received by customer's order. (SIGNATURE & DATE REQUIRED TO PROCESS YOUR ORDER): Signature: _______________________ Date: ___________________________ |