PARKING STICKERS (Form #PVS-101) PRINT ORDER FORM

Mail To: National Property Supply
P O Box 255
Gallatin, MO 64640
Toll Free: 800-342-4944
Fax: 660-663-4020

FORM # PVS-101 STICKER ORDER FORM

BILLING INFORMATION

 NAME:

COMPANY NAME:

 STREET ADDRESS:

CITY, STATE, ZIP:

PHONE:

(Include Area Code) 

 EMAIL ADDRESS:

 YOUR P.O. NO.:

COMMENTS:

ORDER INFORMATION
(Check One)

100 for $30.00 (plus $6.95 shipping & handling)
200 for $55.00 (plus $6.95 shipping & handling)
300 for $82.00 (plus $6.95 shipping & handling)
400 for $109.00 (plus $6.95 shipping & handling)
500 for $125.00 (plus $6.95 shipping & handling)
600 for $150.00 (plus $6.95 shipping & handling)
700 for $175.00 (plus $15.95 shipping & handling)
800 for $200.00 (plus $15.95 shipping & handling)
900 for $225.00 (plus $15.95 shipping & handling)
1000 for $240.00 (plus $15.95 shipping & handling)
1100 for $264.00 (plus $15.95 shipping & handling)
1 200 for $288.00 (plus $15.95 shipping & handling)
1300 for $312.00 (plus $15.95 shipping & handling)
1400 for $336.00 (plus $15.95 shipping & handling)
1500 for $340.00 (plus $15.95 shipping & handling)
1600 for $348.80 (plus $19.95 shipping & handling)
1700 for $370.60 (plus $19.95 shipping & handling)
1800 for $392.40 (plus $19.95 shipping & handling)
1900 for $400.00 (plus $19.95 shipping & handling)
2000 for $410.00 (plus $25.95 shipping & handling)
Contact us for pricing on quantities of PVS-101 stickers not shown here

PAYMENT INFORMATION
(Check One)

Check is enclosed with this form via U.S. mail.
Bill me
(Appropriate shipping & handling charge will be added). Terms: Net 10
I will pay via Credit Card

CREDIT CARD INFORMATION 

TYPE OF CARD:

MasterCard  VISA

NAME ON CARD:

CREDIT CARD #:

EXPIRATION DATE:

SHIPPING INFORMATION

Same As Billing Information
Other (Complete Section Below)

 NAME:

COMPANY NAME:

 STREET ADDRESS:

CITY, STATE, ZIP:

If paying by check, print this form and mail with your check.
You may also print this form and fax to 660-663-4020.

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