Counter Card Order Form
Contact
Date
Company
Telephone
Ext
Address
Fax
City
State
Zip
Your Ad size
Order Quantity
Price/Pc
Total
8.5 x 11
11 x 14
11 x 17
Other Sizes
(Call for prices)
Subtotal
Sales Tax
(CA residents add 8.25%)
Shipping
(Applies to orders of 25 pcs or less)
Total Amount of order
Additional Instructions