ALLAMERICANFLAG.COM / FLAGSALES.COM ORDER FORM
----- MINIMUM ORDER: $20.00 (US) -----
Call us, toll free: 1-877-FLAGS-R-US or Fax to: 313-383-8528 or
Mail to: 17151 Ecorse Road Allen Park, MI 48101 (Please make out checks to: CB CLARK SERVICES)

-----Shipping Information-----

Name:__________________________________________________________
Street Address:_____________________________
City:______________________________________
     State:______ ----------------Zip Code: ____________
Phone:(________)__________________________

(In case we have questions about your order)

-----Payment Method-----
Check:___ Money Order:___ Credit Card:___
(Please sign your check)
Visa:___ -------Master Card:___ ----------American Express:___
Card Number:_________________________
Expiration Date:_____/_____ VCC:_________ (security # on back of card)
--------------------
-- (mo) (year)
Signature:_________________________________________

Quantity Description Price (ea)
______ _____________________________________________ ______________
______ _____________________________________________ ______________
______ _____________________________________________ ______________
______ _____________________________________________ ______________
______ _____________________________________________ ______________
______ _____________________________________________ ______________
______ _____________________________________________ ______________
______ _____________________________________________ ______________
______ _____________________________________________ ______________
______ _____________________________________________ ______________
 
Subtotal
______________
 
MI residents, add 6% sales tax:
______________
 
TOTAL
______________

----- MINIMUM ORDER: $20.00 (US) -----