Please Print This Order Form, Then Fax Or Mail


Fax To: (702) 456-0891
Voice Number: (702) 435-6092

XSTAMPER
Attn: Spencer Lazar
2501 Wigwam Parkway
Suite 616
Henderson, NV 89074

  Name__________________________________________________Call:_____________________

  Street___________________________________________________________________________

  City____________________________________________State__________ZIP________________

  E-Mail Address___________________________________________Phone___________________

  Model you wish to order:______________Circle ink color:  black,  blue,  red,  green,  purple.

[__] Centered,  [__] Flush Left,  [__] Top Line Bold,  [__] All Caps or [__] Upper & Lower Case

>>>>>   Please print clearly in below space, use separate sheet for larger orders.   <<<<<

 

 

 

 

 

 

 




S & H additional: 1 stamp $3.75, 2 stamps $4.75, 3 stamps $5.75, 4 stamps $6.75, 5 plus $7.75.

Nevada residents please add 8.1% sales tax.

[__] My check is enclosed for $__________________________________or

Please charge my: [__] Visa, [__] Master, [__] Amex, [__] Discover Card

$_____________.  Card or P.O.#____________________________________

Expiration Date:____________________, 3 or 4 digit security code_________________


Fax Number: (702) 456-0891,    Voice Number: (702) 435-6092

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