|
Anchor Flag and Flagpole |
Order |
Form |
|
www.AnchorFlagAndFlagpole.com |
|
|
|
Anchor Flag, INC. |
|
|
|
2044 Hwy 9 West |
DATE:_____________________ |
|
|
Longs, SC 29568 |
|
|
|
Phone 800-637-3002 Fax 843-756-9143 |
|
|
|
Bill To: |
Ship To (If different from Billing): |
|
Name____________________________________________ |
Name______________________________________ |
|
Company Name____________________________________ |
Company Name______________________________ |
|
Street Address_____________________________________ |
Street Address_______________________________ |
|
City, ST ZIP Code__________________________________ |
City, ST ZIP Code____________________________ |
|
Phone (______)___________________________________ |
Phone (______)_____________________________ |
|
Email______________________________________________ |
Email_______________________________________ |
| |
|
|
|
Credit Card # ________________________________ |
Expiration Date _____ / _____ |
|
|
|
Three Digit Security Code ___ ___ ___ |
|
DESCRIPTION |
AMOUNT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shipping UPS $8.50 + .50 cent per flag |
|
| |
Shipping |
$ - |
|
Make all checks payable to Anchor Flag,
Inc. |
Tax (NC and SC only) |
$ - |
| |
TOTAL |
$ - |
|
If you have any questions concerning this invoice, contact
customer service at 800-637-3002 |
|
|
|
|
| |
