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Bannister Designs, Inc.    www.engravenet.com	Phone: 812-422-9622
1021 Jay Drive	bannisterdesigns@insightbb.com
Evansville, IN 47710	Fax: 812-422-7097

Ship To Information		Bill To Information (If Different)
Name:		Name:
Company:		Company:
Address:		Address:
Address 2:		Address 2:
City:		City:
State	Zip:	State	Zip:
Phone:		Phone:
Email:		Email:
Credit Card Name and address Information MUST match Ship to or Bill to Information
Credit Card #		Exp. Date

Refer to Website, making sure you enter ALL information relevant to the item(s) you are ordering. Long list may be indicated on separate paper.
Item Code:	Item Description:	Quantity:	Price each:		Total:
Item Face Color:                        Letter Color:		Sign Mounting:		Badge Fastener:
Text/Personalization on Item:                                                            Font (if option available on this item):

Shipping Chart	Payment by Credit Card, Check or Money Order
0 to $7.00 = $3.50 $7.01 to $12.00 = $4.50 $12.01 to $19.00 = $6.00 $19.01 to $25.00 = $7.00 $25.01 to $38.00 = $8.00 $38.01 to $64.00 = $9.00 $64.01 to $80.00 = $10.00 $80.01 to $100.00 = $11.00 $100.01 to $200.00 = $12.00 $200.01 to $300.00 = $15.00 $300.01 to $400.00 = $17.00 Call for over $400.00	Subtotal:
	Shipping:
	Indiana Residents add 7% sales tax
	Total:
	For U.S. orders ONLY