ARCHITECT, ENGINEER, PROFESSIONAL ORDER FORM 2008

DATE

NAME

FIRM 

STREET

CITY 

STATE & ZIP 

PHONE 

FAX 

E-MAIL 

Quantity                                Description                      Unit Total

sub-total

CA ONLY add 7.75% SALES TAX

               Shipping/Handling $7.50 US         

            Insurance add $2.00                       

                 TOTAL US $                           

 

 

 

 

 

SEAL INFORMATION NEEDED       Fill in with computer or print form and fill in with a pen.

 

RESPOND TO ALL ENTRIES

Profession

Name

License No.

Ren./Exp. Date if required

Field

State

Seal Size

CA SEALS (ONLY)

What stamp type do you want?

 

SEAL PRICE INFORMATION

 

 

 

Regular Rubber Stamp ---------- $36.00US

 

 

 

Self-Inkers 2000+ ------------------ $48.75US

Pre-Inked-----------------------------$55.00US

 

Hand Embosser --------------------$48.25US

 

Desk Embosser--------------------$55.50US

 

AMERICAN STAMP CO.

P. O. BOX 121, Wilton, CA 95693

877-687-7102 or 916-687-7102 voice or fax

Credit Card Information:
 VISAor MasterCard 
Name on Card
Card No.               Expiration Date    

Hit Counter

HOME