Parkingsigncorner.com FAX ORDER FORM

Directions for faxing an order: Print this order form.  Fill in the information requested.  Fax your order to us at 518-767-0058.  We will review your order, calculate shipping charges and confirm your order by return fax.  Your confirmation will include a total for your order (purchase and shipping).

Date: ____________________________ Name:___________________________

Phone:___________________________ Fax:_____________________________

SHIPPING ADDRESS (Orders are shipped UPS. Please provide a street address.)

Name or Company name:__________________________________________________ Address 1:______________________________________________________________ Address 2:______________________________________________________________ City, State and Zip Code:___________________________________________________

Quantity ______ ______ ______ ______ ______

Item # Description and Color _______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________

Unit Price ________ ________ ________ ________ ________

Extended _________ _________ _________ _________ _________

BILLING ADDRESS

Subtotal:_________ Shipping:_________ Sales tax (New York):_________ Total:_________

Name:________________________________________ Address:______________________________________ City,State, Zip Code:_____________________________ Mastercard or Visa?_____________________________ Expiration Date:_________________________________ Card Number:__________________________________ 3 Digit Security Code:_______________

You will be contacted for information in red.