apparel and promotional products order form · apparel and promotional products order form name:...
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Option 1Option 2
Item 1: CPS-K800 - Men’s Short Sleeve Polo Shirt - Embroidered Logo - Left Chest Shirt Color: Black Cobalt Blue Green Oasis White Navy Iron Grey
Size: S - $25.00 M - $25.00 L - $25.00 XL - $25.00 2XL - $28.50 3XL - $30.00 4XL - $32.00
Item 2: CPS-L800 - Ladies Short Sleeve Polo Shirt - Embroidered Logo - Left Chest Shirt Color: Black Cobalt Blue Green Oasis White Navy
Size: S - $25.00 M - $25.00 L - $25.00 XL - $25.00 2XL - $28.50 3XL - $30.00
Item 3: CPS-P1607 - Unisex 50/50 Sweatshirt - Embroidered Logo - Left Chest Shirt Color: Black Navy Light Steel
Size: S - $25.00 M - $25.00 L - $25.00 XL - $25.00 2XL - $28.50 3XL - $30.00
Apparel and Promotional Products Order Form Name: _______________________________________
Date: _______________________________________
A portion of the proceeds goes to support Safe Kids USA.
Item # Quantity Color Size Logo Option # Price Total Cost (See options below)
11/2014 Please call KS Image Solutions for bulk or custom pricing, 704-786-7763
Item 7: CPS-AD - Auto Decal Price: $3.00/Each
Option 1
Option 2
Item 5: CPS-2000 - Unisex Short Sleeve T-shirt - Screenprinted Logo - Left Chest and Full Back
Shirt Color: Black Navy Sports Grey Safety Orange Safety Green SapphireSize: S - $14.00 M - $14.00 L - $14.00 XL - $14.00 2XL - $16.00 3XL - $17.00 4XL - $18.00
Item # Quantity Color Size Logo Option # Price Total Cost (See options below)
Quantity Decal Option Below - Please circle one Price Total Cost
Option 1 Option 2 Option 3 Option 4
Option 1 Option 2 Option 3 Option 4
$3.00/Each
Item 6: CPS-2400 - Unisex Long Sleeve T-shirt - Screenprinted Logo - Left Chest and Full Back
Shirt Color: Black Navy Sports Grey Safety Orange Safety Green SapphireSize: S - $20.00 M - $20.00 L - $20.00 XL - $20.00 2XL - $22.00 3XL - $23.00 4XL - $24.00
Item 4: CPS-M990 Unisex Fleece Jacket - (Ladies Cut Available Upon Request)Shirt Color: Royal Navy Red Charcoal Black Size: S - $29.00 M - $29.00 L - $29.00 XL - $29.00 2XL - $31.00 3XL - $33.00 4XL - $35.00
Please call KS Image Solutions for bulk or custom pricing, 704-786-7763
$3.00/Each
Name: ______________________________________________________________________________
Address: _____________________________________________________________________________
City, State, Zip: _________________________________________________________________________
Phone Number: ________________________________________________________________________
Email Addess: _________________________________________________________________________
Payment Method:
FOR PAYMENT BY CHECK ORDERS - PLEASE MAIL YOUR ORDER AND CHECK IN TO KS IMAGE SOLUTIONS
Checks:Checks made payable to KS Image Solutions, LLC. Please mail order form and check to:
KS Image Solutions, LLC 4464 Raceway Drive, Suite B Concord, NC 28027
FOR CREDIT CARD ORDERS - PLEASE FAX ORDER TO 704-786-7764
Credit Card:VISA Mastercard AMEX
Name on Card: ________________________________________________________________________
Card Number: _________________________________________________ Exp. Date: ______________
Zip Code for Card: ________________ Authorization # on Back of Card: ________________________
Total Pieces Ordered
Total Cost of Goods - Page 1 $
Total Cost of Goods - Page 2 $
Sales Tax will be added for NC & SC Residents $
Shipping - $12 for first item and $2 for each additional item $
Total Order $
A portion of the proceeds goes to support Safe Kids USA.
Please call KS Image Solutions for bulk or custom pricing, 704-786-7763