My Flag,USA Ordering Form

My Flag, USA	*	Order Toll Free	*	Discounts on Volume Orders
858 Camel Back Drive	*	Ph: 800 419 5404	*	Custom Made Flags & Banners
New Braunfels, TX 78130-2461	*	Fax: 830 620 5146	*	Call for Pricing on Non-Stock Items

Shipping Address Billing Address (if different)

Name: _____________________________________________ Name: _____________________________________________

Street: _____________________________________________ Street: _____________________________________________

City: ______________________________________________ City: ______________________________________________

State: _________ Zip Code: ________________ State: _________ Zip Code: _________________

Telephone Number: (_____)____________________ Date: ___________ Purchase Order No.: ___________

Quantity Description Price Each Total Price

Shipping & Handling Sub Total

$25.00 Minimum Order - $49.99 = $7.00 *Add Shipping

$50.00 - $71.99 = $10.50 *Add 8.25% Sales Tax
for Texas orders only

$72.00 & Higher = Call for Shipping Total Due With Order

_____ Open Account You must have ordered in the past year and be current on your account.

_____ Credit Card Check One: ______MasterCard ______Visa Expiration Date ______________

Card Number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Signature: ________________________________________________________________________

Shipping Address	Billing Address (if different)
Name: _____________________________________________	Name: _____________________________________________
Street: _____________________________________________	Street: _____________________________________________
City: ______________________________________________	City: ______________________________________________
State: _________ Zip Code: ________________	State: _________ Zip Code: _________________
Telephone Number: (_____)____________________	Date: ___________ Purchase Order No.: ___________

Quantity	Description	Price Each	Total Price







	Shipping & Handling		Sub Total
	$25.00 Minimum Order - $49.99 = $7.00		*Add Shipping
	$50.00 - $71.99 = $10.50		*Add 8.25% Sales Tax for Texas orders only
	$72.00 & Higher = Call for Shipping		Total Due With Order