Order Form

Step 1) Fill out the form below. All RED labeled fields must be filled out.

Name

Title

Organization

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

Home Phone

FAX

E-mail

Please provide the following ordering information:

Hat Color:

Hat Type:

1st 10 letters are free. Additional letters .20 each

Wording Color: Wording Type:

Top Line:

Bottom Line:

Check Box if you want a Center Logo and/or Scrambled Eggs

Center Logo: $ 2.25

Scrambled Eggs: $ 1.75

Number of letters over 10: X .20 = $

Hat Price: $

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Sub Total: $

Quantity: X

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Sub Total: $

Shipping Charges: $

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Total Charges: $

BILLING

Credit card Visa Master Card Check/Money Order

Cardholder name

Card number

Expiration date

SHIPPING

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

If you are using a Credit Card, just click on Send Order and we will receive the order by E-Mail

If you are paying by Check or Money Order follow Steps 2-3.

Step 2) Use your browser's PRINT function to print the completed form.

Step 3) Mail to: J. Penning Associates OR Fax to: (941) 693-4856

3516 16th Street West OR Phone orders in : (941) 693-4855

Lehigh Acres, Florida 33971

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Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail

	BILLING
Credit card	Visa Master Card Check/Money Order
Cardholder name
Card number
Expiration date

	SHIPPING
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

Order Form

[Home]

[Types][Colors][Logos][Wording][Finished Hats]

[Order Form][Contact Us][Come See Us]

Last revised: September 09, 1998