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                 ( To return your item of interest, first go back to the  Specialty Products List   , then click on the product listing. )

     
              Print out this page, provide info below and fax to 440-238-4484
                    Alternately, please provide the information requested below via e-mail to  sales@customimprint.com


                  Individual's Name,  or Company Name: _______________________________________________________

                  Shipping Address (No PO Boxes): _____________________________________________________________

                  ___________________________________________________________________________________________

                  Phone Number: ___________________________________FAX No.__________________________________


                  e-mail address: _____________________________________________________________________________
                 
                 
                  Quantity: _____Color ___________
Item Number:____________ Imprint Color/s:______________________


                  Credit Card Number:_______________________________ Exp. Date:
_________ 3 Digit Code:___________

                  Type of Card (VISA, etc.) _______  Complete Name on Card:______________________________________

                  Street Address and Zip Code where card is billed:_______________________________________________
                  Send artwork file in Adobe Illustrator  ( .eps, .ai, or .pdf )  to   art@customimprint.com
                  ( Custom Imprint can also create artwork at a nominal charge - let us know what you would like .)

                  e-mail: sales@customimprint.com                 art: art@customimprint.com                 Phone: 440-238-4488    
                 Custom Imprint will Confirm Your Order and Pricing, via e-mail.
 19573B Progress Drive  Cleveland, Ohio 44149