decoprint CUSTOM IMPRINT ORDER FORM    P.O Box 690                         Toll-Free                        Fax             Mead, CO 80542                1.888.954.6666         1.970.535.9091

To Place an Order - Print off and fill in this order form, sections 1,2 & 3 only; then mail or fax to decoprint - for final order assistance, call toll-free 1.888.954.6666 THANK YOU!! (1) CUSTOMER INFORMATION Business Name: Zip Code: Contact Person: Country: Street Address 1 Purchase Order No.: P.O. Box (if applicable) Business Phone: City: Business Fax: State: Email:

(2) PRODUCT COLOR IMPRINT DATA 1st Imprint Colors 2nd Imprint Colors (if needed) Color 1 Color 1 Color 2 Color 2 Color 3 Color 3 Color 4 Color 4

(3) PRODUCT ORDER INFORMATION Quantity (Dozens) Description (4) Unit Price Amount - - - - - - - - - - - - - - - - - - - - ARTWORK:Send Us your camera-ready art in one of many formats ie: art on disk, computer-generated art, business card or letterhead with logo Subtotal - - 1st Imprint Charge - - COMMENTS: 2nd Imprint Charge (if applicable) - - Preparation Costs - - Shipping Costs - - Sales Tax (6.5%)    (CO residents only) - - Total - -

(5) WE ACCEPT: checks*, money orders, Visa, MasterCard, Discover & American Express Credit Card No.________________________________ Expiration Date: ____________ Authorized Signature: Date: Due to the permanent nature of all imprinted products, all orders are considered firm and cannot be cancelled without factory authorization. No returns will be accepted without decoprint authorization. Our responsibility ceases for delivery and to meet specific dates after acceptance of goods by the transportation company * All checks verified through Check Verification system.