STAR ADVERTISING ORDER FORM

(1) Fill out and fax this order form to (425) 908-7935

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

                     

_________________________________________                          ______

 

__________________________________________                         ______

 

__________________________________________                        ______

 

__________________________________________                        ______

 

__________________________________________                        ______

 

Ship via: _____ground____ 3rd day____ 2nd day____ next day

 

PAYMENT METHOD:

Check/Money order ____COD ___Visa ____MasterCard ____Discover

Card Number_____________________________  Exp Date_____________

Name on Card_______________________________ ID Code #__________

Address _________________________State __________Zip ___________

Comments, special Instructions:____________________________________________________

 

Fill Out And Fax Back To: (425) 908-7935