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ELKS GenOrderForm Final

Order by Mail6250 W. Howard StreetNiles, IL 60714 Order by PhoneToll-Free: : by Fax877-FOR-ELKSP ayment InformationGeneral Orders QTY ITem Number DescrIpTIoN uNIT prIce ToTalPlease fill in account number and your name exactly as it appears on Card Number Expiration DatePrint NameBilling AddressSignature TO EXPEDITE DELIVERY - Provide a full street address with zip code where merchandise can be delivered during regular working hours via UPS or truck. OUR POLICY - Stock items shipped within 24-48 hours. Allow 3-4 weeks for imprinted items. Orders regularly entered for imprinted items cannot be cancelled. Minimum Order of $ or a Handling Charge of $ Will Name Your Name EmailAddress City State ZipPhoneDate ordered Date order Needed (FULL STREET ADDRESS & ZIP CODE NEEDED CANNOT SHIP TO BOXES)ALL ORDERS SIGNED BY AUTHORIZED CLUB OFFICERS WILL BE SHIPPED ON OPEN ACCOUNT, DOCK. ALL PERSONAL ORDERS MUST BE CREDIT CARDS CHECK: Can UPS deliver to your Club?

Card Number Expiration Date Print Name on Card Billing Address City State Zip (if different from Lodge address)

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