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) -----