Flagsales.com Printable Order Form
Please send all checks and money orders to:
Clark Services
17151 Ecorse Road Allen Park, MI 48101
FAX TO: (313) 383-8528; Phone:1-877-FLAGS-R-US
EMAIL: cb.clark@hotmail.com

Name:
_______________________________________________________
Billing Address(Credit Card):
_______________________________________________________

_______________________________________________________
Ship-To Address: Business?___ or Residence?___

_______________________________________________________

_______________________________________________________
Phone#:
_______________________________________________________
Email:
________________________________________________
Payment Information:
Please make checks payable to: Clark Services
Check:___ Money Order:___
Credit Card:___


Visa:___ Master Card:___
Card Number:_________________________
Expiration Date:__________ VCC:_________ (security # on back of card)

Signature:____________________________

Products To Be Ordered:
NOTE: Minimum order is $20.00

Quantanty: Description: Size: Price(ea): Price:
_______ ___________________________ _______________ _______________ _________
_______ ___________________________ _______________ _______________ _________
_______ ___________________________ _______________ _______________ _________
_______ ___________________________ _______________ _______________ _________
_______ ___________________________ _______________ _______________ _________
_______ ___________________________ _______________ _______________ _________
_______ ___________________________ _______________ _______________ _________
     


Subtotal:

Sales Tax (6%):
MI Residents Only

Shiping and Handling:
($3.95 for flags; poles & large items pls call for quote)

Total:


_________

_________

_________

_________