JFB Desktop Publishing

112 Eucalyptus Ave., South San Francisco, CA 94080

Fax: (650) 872-2774 Or (800) 794 -8345

Raised Print Card Order Form

Fill out this order form and print it. Mail or fax it to me with proof that you are a practicing locksmith . Keep a copy for your records.

. Information on electronic funds transfers to pay for purchases

Name:

Address:


Ship to Above Address   Ship to Below Address

Ship To:


Payment Options: Mail with Cashier's Check
Mail with Personal Check ( wait for check to clear)
Pay by Credit Card


Credit Card:

 Visa
MasterCard
American Express
Discover

Credit Card:

Card number : Expiration : Security code from back of card



Name on Credit Card:


Card Billing Address:

Home Phone with Area Code :

Day Phone with Area Code :    Fax Number:

E-mail :

We need your fax number to send a proof.




Here are some type samples:



Circle the price. Ca Residents 8.25 % ( I am in the Bart District)

Ink Colors 500 1000 Add'l 1000
Black $22.00 $28.00 $22.00
1 Standard Color $28.00 $36.00 $28.00
Black & 1 Standard Color $35.00 $44.00 $36.00
2 Standard Colors $48.00 $58.00 $48.00


Total for Cards
Sales Tax 7.25%
Total



We thank you for your support.

Signature:_______________________________