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USE BLACK INK PEN,<br />
NOT PENCIL WHEN FILLING OUT FORM<br />
n AMERICAN EXPRESS<br />
n DISCOVER<br />
Expiration Date<br />
Card Holder<br />
Card No.<br />
3 Digit Security Code<br />
Signature<br />
Please type or print clearly in ink.<br />
Now ordering your <strong>MasterTag</strong> ® tags is easier than ever.<br />
n Please mark if there is a phone or address change. n New customer Date_____________<br />
Discover the time-saving convenience of our toll-free fax line. Use this handy form to jot<br />
down your order and to help you take inventory. Then, dial our toll-free number, feed the<br />
form into your machine, and we’ll take care of the rest. It’s that simple.<br />
Toll-Free FAX: 1-800-828-0003 PHONE: 1-800-253-0439<br />
SOLD TO: SHIP TO:<br />
OFFICE USE ONLY<br />
Order No. ______________________<br />
Firm Name Customer No. Firm Name Ship to No.<br />
Contact Name Customer P.O. No. Attention<br />
Street Address/P.O. Box Street Address<br />
City State ZIP City State ZIP<br />
Phone No.___________________________________________ Fax<br />
No._____________________________________________<br />
Email Address________________________________________<br />
*Payment Method n Charge On Account n Credit Card (Please fill out credit card info at top of page.) n Check Enclosed<br />
*Your order could be delayed if no payment selection is made.<br />
n VISA<br />
n MASTERCARD<br />
n Mail n Fax n Other_____________<br />
For best service, please fill out the SHIP TO information if your SOLD TO address is a P.O. Box or if you want<br />
your product shipped to a different location.<br />
Your customer number can be found on all invoices<br />
and/or pick lists.<br />
Visit www.mastertag.com to order online.<br />
Is this address: n Commercial n Residential<br />
Phone No.___________________________________________ Fax<br />
No._____________________________________________<br />
Your order will be shipped with a “Ground” service<br />
level unless specified otherwise. n Other _______________ Requested Ship Date ___________ - - ____<br />
In the event that items are out of stock, choose one of the following: n Ship order complete n Ship as available<br />
QUANTITY ITEM # NAME OR DESCRIPTION OF VARIETY<br />
Please provide complete shipping<br />
address info. if different than sold to:<br />
mm dd yy<br />
Page<br />
Total _____<br />
5
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