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PURCHASE
ORDER FROM |
Order Date: |
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Lima
Firefighters - Local 334 |
Ship to: |
Residence |
LFD |
(circle one ) |
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433 S. Main |
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| PO Box 112 211 E
Main Street |
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Lima,
OH 45804 |
Name: |
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| Coldwater, OH
45828 |
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Address: |
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| Phone:
1-866-362-3374 |
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| Fax:
1-419-678-3577 |
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City, State ZIP: |
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| E-Mail:
embroidery@designsemb.com |
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(for
residential shipping) |
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-see additional charges |
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Personalization |
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Pricing |
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Emb |
Emb |
Initials |
Word/Name |
Lettering |
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| Item No. |
Description |
Size |
Color |
Logo # |
Location |
First Mid Last |
w/punctuation |
Color |
Qty. |
Total |
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Additional Charges |
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Shipping Charges |
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Sub Total: |
$ |
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Shipping, Packing |
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| $3.50 |
Name, Numbers, or Initials |
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Total Price of Order |
and Handling |
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+ Shipping: |
$ |
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$0- |
25.00 |
$3.95 |
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| $7.50 |
Additional Logo Placement |
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$25.01- |
50.00 |
$5.95 |
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+ Sales Tax |
7%
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-available
in all locations size permitting |
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$50.01- |
75.00 |
$7.95 |
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$75.01- |
125.00 |
$9.95 |
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= Total |
$ |
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| $4.00 |
Add to shipping charges for |
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$125+ |
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$11.95 |
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residential delivery |
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Method of Payment: |
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Fax your order for credit card |
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payment to: 419-678-3577 |
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Credit Card |
Check |
(circle one ) |
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OR |
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| Orders must be received by the end of each |
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We
accept Visa, MasterCard, American Express, Discover |
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| month to be processed
and shipped for delivery |
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Mail your order with a check to: |
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| in 7 to 10 days (approximately the 10th of
each |
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Credit Card Number: |
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EMB Designs |
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| month). Orders will be bulk shipped with |
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Attn: Ordering
Dept. |
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| individual orders packed separately within |
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Card Exp Date ____/____ |
Amount: |
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PO Box 112 |
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| to station unless residential delivery
requested. |
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Coldwater, OH
45828 |
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Signature on card |
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