Date
BILL TO INFORMATION
SHIP TO INFORMATION
Company Name
Company Name
Attention
Attention
Address 1
Address 1
Address 2
Address 2
City
City
State
Zip Code
State
Zip Code
Purchase Order #
Telephone #
Fax #
E-mail
BILLING INFORMATION
For Credit Card Use Only
Please choose card below & complete information
Attention Business Owner:  Please consider
your account as an Open Account which means
we will invoice you.  Should you not qualify for
an open account, you will be notified
immediately.
Cardholder's Name
Cardholder's Phone #
Card Number
Expiration Date
CW #
ITEM BEING ORDERED
Quantity
Product #
Item Description
Product Found Where?
Item Color
Imprint Color
Imprint Location
Pens
Choose Point
Choose Refill Color
Imprint Color
Trim Color
Barrel Color
Clothing Sizes and Quantities
Quantity of Small
Quantity of Medium
Quantity of Large
Quantity of X-Large
Quantity of XX-Large
Other
Details of Purchase
Cost Per Piece
X
Quantity
= $
Detail of Extra Charges, if any.  Here are a few examples: Set Up Charge, Screen Charge, 2nd Color, Art Work, etc.
Description of Extra Charge
Extended Price
Description of Extra Charge
Total Extra Charges
Description of Extra Charge
Tax
Tax Exempt Number
Est. Freight
Please fax copy of tax exempt certificate to (570) 356-7499
Total
Shipping
*SPECIFY SHIPPING METHOD:  Customer is responsible for all freight, handling and expediting charges and will automatically be invoiced by
Kaeser & Blair for the method authorized below.  When prepaying order, be sure to estimate and include freight with payment.
1 Day/RED
2 day/BLUE
3 Day/ORANGE
Ground/5+ Days
SPECIFY SHIPPING DATE:
We will ship your order ASAP unless otherwise noted.  Allow 1-3 days for your order to be processed in addition to in-factory production time.
Ship on or before this date
We need this in hands by this date
Customer agrees to pay overnight charges if requested
Product for future use-Do not ship before this date
Ship ASAP
ARTWORK
WE RESERVE THE RIGHT TO RE-ARRANGE COPY FOR BEST IMPRINT
Imprint Wanted
Special Instructions
To E-mail us your logo or artwork please click on the E-mail Artwork button below.
E-mail Artwork
If needed, we have developed a page that will assist you in submitting your artwork via e-mail.   
Although it is only brief, it should provide enough information to help you through this process
Please click
Artwork Helper now, or click on Contact Us for further assistance.
Please fax a copy of any artwork you have submitted to (570) 356-7499 to insure accuracy.  
Thank You!
THANK YOU FOR YOUR ORDER!
You will receive a confirmation of your order within 24 hours.
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