Simply
fill in your information, print
the form, and fax your order to: 1- 877- 347- 3422
Ultimate Cold Pack
215 12th Ave NE
Valley City, ND 58072
Tel: 1-800-437-8011
PRICE
INCLUDES SHIPPING!
Date
Account
Number
Please use your telephone
number, including area code. Hereafter, your phone number
is your account number.
Business/organization
name
Contact
name
Street
address
City
State
Zip
Phone
Fax
E-mail
Payment
method:
Credit
Card
Note:
If you are a first-time customer, your order must
be paid by credit card. If you are not using a credit
card, please call our billing department 1-800-437-8011.
Check
Credit
Card number
VISA
MasterCard
Discover
American
Express
Expiration date
Name
as it appears on credit card
Signature
Ultimate
Cold Packs
6"x10"
Prod. No. 7100
Yes
No
10"x15"
Prod. No. 7106
Yes
No
5"x18"
Prod. No. 7112
Yes
No
New
9"x12" Prod. No. 7116
Yes
No
New
7"x25" Prod. No. 7120
Yes
No
*One-time
set-up charge$25.00
Slip
Covers
6"x10"
Prod. No. 7102
10"x15"
Prod. No. 7108
9"x12"
Prod. No. 7118
New
7"x25" Prod. No. 7122
New
5"x18" Prod. No. 7114
Grand
total
First-time
Customers: On
a separate sheet clearly display what and how
you would like your wording to appear. We recommend
you not exceed more than six - eight lines of
copy of no more than 18 characters per line.
First-time
Personalization Personalize
your Ultimate Cold Packs and they will be excellent
promotional tools for your business or organization.
Proof A proof will be faxed to you for approval
prior to your order being processed.
Repeat
Orders:
I
have ordered personalized Ultimate Cold Packs
in the past.
I
wish to make changes to my Personalization:
No
Yes
If "Yes," please fax new copy guidelines.
A proof will be faxed for your approval prior
to processing of this order.
