Decal Style:	Qty.	Letter Color	Cost Each	Shipping
		White	$20.00	FREE
		White	$18.00	FREE
		White	$15.00	FREE

Special Instructions:
Customer Information
First:   Last:
Address 1:
Address 2:
City:	State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code:
Phone:
Web Site:
E-Mail:
Credit Card Information
Credit Card: Select credit card Discover American Express VISA MasterCard          Name on Card:
Credit Card Number:
Expiration Date: 1 2 3 4 5 6 7 8 9 10 11 12 Year 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025

Sales Tax is charged only on items shipped to New York State. If you are in New Your State and are tax exempt please fax your certificate to 631-667-1640.

Important: When you submit your order below there will be a wait while the server processes your order and returns a confirmation page for you to print. The processing of your order could take up to a minute. Please do not click the Submit Order button a second time, but wait for the confirmation to be returned. If an error message is returned, please contact the webmaster. If you do not receive a Confirmation Page, your order did not successfully process. Either try again, or contact us. Thank you for your order.

ORDER CONFIRMATION: This will be sent to the email address that you provided. Please review this page to ensure your order is correct and keep a copy of the next page. If you are contacting us about your order, please refer to your phone number, it is the fastest way for us to locate your order and respond to you. If you do not receive a confirmation then most likely we did not receive your order.

Please allow a minimum of 2 weeks for delivery.