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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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Transcription of ELKS GenOrderForm Final

1 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?

2 Have you shown full street address above for Shipment? They cannot deliver to Box Number Expiration DatePrint Name on CardBilling Address City State Zip (if different from Lodge address)Signature Lodge Name and NumberYour NameBill to Address City State ZipShip to Address City State Zip (cannot ship to Boxes)Contact Phone Email Address ALL ORDERS SIGNED BY AUTHORIZED CLUB OFFICERS WILL BE SHIPPED ON OPEN ACCOUNT, PERSONAL ORDERS MUST BE CREDIT CARDS ONLY! QTY ITEM # ITEM NAME (BADGE CUSTOMIZATION ON REVERSE) UNIT PRICE TOTALO rder by Mail6250 W. Howard StreetNiles, IL 60714 Order by PhoneToll-Free: : by Fax877-FOR-ELKSBADGE ORDER FORMDate of Order / / Date Order Needed / /3. Payment Information1. Customer Information2. Order InformationWe accept q VISA q MasterCard q Discover MINIMUM ORDER OF $ OR AN ADDITIONAL HANDLING CHARGE OF $ WILL APPLYTO EXPEDITE DELIVERY: Give us a full street address with zip code where merchandise can be delivered during regular working hours via UPS or truck.

3 Remember they cannot deliver to Box is as easy as 1 - 2- 3! Line 2 (NAME) Line 3 (TITLEMASTER LINELine 2 Line 3 Specify EmblemStyle BADGE COLOREMBLEM STYLEFASTENER TYPEE ngraved Badge #251 Women s Badge #262 EEMB - Standard EmblemRBE-01 - Cloisonn elks Head EmblemTER-01 - US Flag/ elks EmblemRHBE-01 - Rhinestone EmblemBE-1 - High Relief elks Head EmblemPB - Pin Back $.40 BLDG - Bulldog Clip $.75 MAG - Magnet Back $ OVER STANDARDPLEASE CHECK: q Can UPS deliver to your club? Have you shown your full street address above for UPS or Truck Shipment? they cannot deliver to Box YOUR BADGESS elect Badge ColorsMASTER LINE - IMPORTANT!! Select Emblem Style Select FastenerRed / White = RWBlue / White = BWBlack / White = BKWA zure Blue / White = AWGreen / White = GWPurple / White = PWWhite/ Green =WGWhite / Red = WRGold / Black = GB*Silver / Black = SBTan / Black = TBWhite / Blue = WBWhite / Black = WBKMASTER LINELine 2 Line 3 Specify EmblemStyleITEM # Print Lodge name EXACTLY as it should appear on badges:Select Badge Type (Item #)Other badge styles for our complete line.)


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