Van Set with Windows - TV08-01W - GoTempstar!

NameAddressP.O. BoxCity, State, ZipPhoneDist. #P.O. #Ordered by/Bill to:2009Expanded CustomFulfillment ProgramOrder Form, Page 1Ship to:**If you are a Tempstar distributor , please include a purchase order number, and contact information when placing an order.****If you are a Tempstar dealer , please include the requested credit card information below, and contact information when placing an order.**Company Name to Appear on Vehicle and/or Yard Sign:Company Name (line 2):Telephone NumberPlease Specify Color of Dealer Infomation- - Black WhiteDealer License Number (If required by state of residence law):*Colors, other than black or white - add 10% to the total cost ofthe vehicle package, or 30% for lettering not ordered with apackage. Orders with more than 1 color - add an additional$10.00 per color.Complete Tempstar Vehicle PackagesCustom logo work is available, and will need to be quotedOrder NumberDescriptionUnit CostQuantityTotalTV08-01 Van (without side windows) set $196.00$TV08-01W Van (with side windows) set $186.20$TV08-02 Pick Up Truck $97.50$Individual Tempstar Vehicle DecalsOrder Number Description Unit Cost QuantityTV003I 6" x 26" Tempstar Logo$7.75 $TV004I 11" x 50" Tempstar Logo $12.65$TV004IP 8.6" x 38" Tempstar Logo$15.20 $TV005I 18" x 76" Tempstar Logo $20.50$TV08-01S 16" x 84" Van Stripes pair $72.00$TV08-02S 8" x 62" Pick up Side Stripes pair$35.70$TV08-03 3.5" x 48" "Quality You Can Feel"$8.75$ICP08-VSID 24" X 65" Van Side Dealer Info.* ea. $24.96$ICP08-VSW 16" X 45" Van Window Side Dealer Info.* ea. $18.80$ICP08-VPD 11" X 30" Pick Up Door Dealer Info*. ea. $10.22$ICP08-PR 8.5" x 23" Pick Up Tailgate Dealer Info* ea. $8.80$ICP07-02 8" Diameter Environmentally Sound Refrigerant $9.85 ea.TotalSubtotal$Please complete forms on both sides, plus payment info (page 3), and fax to T.K.O. Graphix: 317-273-2772For additional order forms, visit www.gotempstar.com