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FAX ORDER FORM
FAX: 813-886-6867
Call: 800-750-7764
Online Ordering: www.labelvalue.com

STEP 1: YOUR ACCOUNT INFORMATION (PLEASE PRINT)
 Purchase Order Number:

 BILL TO: (Credit Card Address)                         SHIP TO: ____ Check here if same as billing address
 Company                                                Company
 Attention                                              Attention
 Address 1                                              Address 1
 Address 2                                              Address 2
 City                                                   City
 State                          Zip                     State                           Zip
 Telephone     (         )                              Telephone     (           )
 FAX      (        )                                    FAX      (          )
 eMail                                                  eMail
 This address is a ___ Business ___ Residence           This address is a ___ Business ___ Residence


STEP 2: YOUR ORDER INFORMATION
 ITEM NUMBER                          DESCRIPTION                    QTY.         X UNIT PRICE         = TOTAL




                                                                                      SUBTOTAL
                             SALES TAX: STATE SALES TAX MUST BE ADDED BY CUSTOMERS IN FL
                   STANDARD GROUND SHIPPING (CALL FOR EXPEDITED SHIPPING OPTIONS)                      FREE
                                                                         TOTAL

STEP 3: YOUR BILLING INFORMATION
  Charge to:           Visa           MasterCard         American Express                   Discover

 Name on Card
 Card Number                                                                    Exp. Date
 Signature on Card                                                                    cvv


STEP 4: YOUR SIGNATURE
 Authorized Signature                                                                         Date


                                      Thank You – we appreciate your order!

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Labelvalue Order Form

  • 1. FAX ORDER FORM FAX: 813-886-6867 Call: 800-750-7764 Online Ordering: www.labelvalue.com STEP 1: YOUR ACCOUNT INFORMATION (PLEASE PRINT) Purchase Order Number: BILL TO: (Credit Card Address) SHIP TO: ____ Check here if same as billing address Company Company Attention Attention Address 1 Address 1 Address 2 Address 2 City City State Zip State Zip Telephone ( ) Telephone ( ) FAX ( ) FAX ( ) eMail eMail This address is a ___ Business ___ Residence This address is a ___ Business ___ Residence STEP 2: YOUR ORDER INFORMATION ITEM NUMBER DESCRIPTION QTY. X UNIT PRICE = TOTAL SUBTOTAL SALES TAX: STATE SALES TAX MUST BE ADDED BY CUSTOMERS IN FL STANDARD GROUND SHIPPING (CALL FOR EXPEDITED SHIPPING OPTIONS) FREE TOTAL STEP 3: YOUR BILLING INFORMATION Charge to: Visa MasterCard American Express Discover Name on Card Card Number Exp. Date Signature on Card cvv STEP 4: YOUR SIGNATURE Authorized Signature Date Thank You – we appreciate your order!