STAR ADVERTISING ORDER FORM

 

(1) Fill out and E-Mail this order form to: starpro1@frontier.com

or (2) Call Star Advertising directly at: (425) 908-7934

or (3) Fill out and mail this order form to:    Star Advertising

                                                               2030 Castle Drive

                                                                 Bothell, WA. 98021

 

Name:  _______________________________________________________

Customer # if you have one:  ______________________________________

Company: _____________________________________________________

Address: ______________________________________________________

City: ____________________________ State: ________ZIP: ____________

Country: _______________________________________________________

E-Mail Address: _________________________________________________

Phone:  (______)_______-______________

Fax:  (______)_______-________________

PO#: ____________ORDER DATE: _____________

DATE NEEDED, If critical________________

ITEM DESCRIPTION (Include shape, color(s), size etc.) QTY PRICE EACH TOTAL

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Ship via: ground__ 3rd day__ 2nd day__ next day __

PAYMENT METHOD:

Check/Money order___ COD ___Visa ___MasterCard ___Discover ____

Name on Card________________________ Card Number___________________________________

Exp Date____________ 3-digit security code on back of card :__________

Comments, special instructions:___________________________________________________________

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