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Section 1 of 4
ECONOBARS ORDER FORM
Where do your EconoBars ship?
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Full Name
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Shipping Address
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Phone number
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NOTE: Orders ship within 2 - 3 weeks of proof approval, not order placement. Proofs can take up 3 to 5 business days after final art is submitted.
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Section 2 of 4
Order Description
Tell us how many you need of each flavor.
Flavor Name / Qty Needed
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Flavor Name / Qty Needed
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Flavor Name / Qty Needed
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Flavor Name / Qty Needed
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Flavor Name / Qty Needed
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Flavor Name / Qty Needed
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Additional File Charge: (ADD $45 FOR EACH EXTRA FILE )
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ORDER TOTAL
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NOTE: Ground shipping is included. Expedited shipping (i.e.: 2 Day or Overnight) will be charged after the job ships.
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Section 3 of 4
PAYMENT INFORMATION
I authorize PRAIRIE STATE GROUP to use my credit card number listed below. Card will be run immediately after proof approval. A receipt will be emailed to you.
Name Of Cardholder
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Address, City, State, Zip
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CARD
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AMEX
MC
VISA
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add "Other"
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Credit Card #
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Expiration #
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3 Digit Security Code
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Signature
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Section 4 of 4
INTERNAL ONLY (CLICK SUBMIT)
This is just for us internally. Nothing to see here. : ) Please just click submit.
Existing Customer?
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Yes
No
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add "Other"
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Customer code #
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Full Name
Copy
No responses yet for this question.
Shipping Address
No responses yet for this question.
Phone number
Copy
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NOTE: Orders ship within 2 - 3 weeks of proof approval, not order placement. Proofs can take up 3 to 5 business days after final art is submitted.
Order Description
Flavor Name / Qty Needed
No responses yet for this question.
Flavor Name / Qty Needed
Copy
No responses yet for this question.
Flavor Name / Qty Needed
Copy
No responses yet for this question.
Flavor Name / Qty Needed
Copy
No responses yet for this question.
Flavor Name / Qty Needed
Copy
No responses yet for this question.
Flavor Name / Qty Needed
Copy
No responses yet for this question.
Additional File Charge: (ADD $45 FOR EACH EXTRA FILE )
Copy
No responses yet for this question.
ORDER TOTAL
Copy
No responses yet for this question.
NOTE: Ground shipping is included. Expedited shipping (i.e.: 2 Day or Overnight) will be charged after the job ships.
PAYMENT INFORMATION
Name Of Cardholder
Copy
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Address, City, State, Zip
Copy
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CARD
Copy
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Credit Card #
Copy
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Expiration #
Copy
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3 Digit Security Code
Copy
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Signature
Copy
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INTERNAL ONLY (CLICK SUBMIT)
Existing Customer?
Copy
No responses yet for this question.
Customer code #
Copy
No responses yet for this question.
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