Important: Fold this section on outside to form back of envelope.
Staples Promotional Products—providing quality promotional products for:
(FOLD ON LINE BELOW)
Staples Promotional Products
1520 Albany Place SE
Orange City, IA 51041-0147
Dealer Cap Personalization
Two lines, 17 characters on first line and 15 characters on second
line in 5⁄16"-high German block letters. Available on caps as noted.
Item # ______
(FOLD ON LINE ABOVE)
_______________________________________________________
_______________________________________________________
Cap Personalization
Please print clearly and proofread your
copy. Staples Promotional Products will
reproduce exactly what you have written,
with the exception of words that may
be abbreviated due to space limitations.
We cannot accept responsibility for your
spelling, punctuation or abbreviations.
Dealer Garment Personalization
Two lines, 18 characters per line in 3⁄8"-high German block letters.
Available on apparel as noted.
_____________________________________________________________________________
Item # _______ Item Size ________
_____________________________________________________________________________
Important: Fold this section on inside.
Garment Personalization
Dealer Garment Monogram
Two lines of 1⁄2"-high script letters, 17 characters per line. Available
on garments as noted. You may monogram garments (as noted
in descriptions) with individual names, initials and/or titles.
Monogrammed items will be shipped separately in 4-6 weeks.
Price: 1st line........................$4.50/garment
2nd line.......................$2.00/garment
_____________________________________________________________________________
_____________________________________________________________________________
Garment Monogram
_____________________________________________________________________________
Item # _______ Item Size ________
_____________________________________________________________________________
Personalized Paper Mate® Sport Retractable Pen
3 lines, 25 characters per line.
_____________________________________________________________________________
Personalized Paper Mate ® Sport Retractable Pen
Note: Spaces and punctuation each equal one character.
ADM Alliance Nutrition®, Inc. Order Form
Catalog Header: ADM
Sku#: 200140418
For Office Use Only: AILinc Order #
First Order
(3)
Customer Number (if known)
Sold to:
Ship to:
COMPANY NAME ______________________________________________________
COMPANY NAME ______________________________________________________
ATTN. _______________________________________________________________
ATTN. _______________________________________________________________
ADDRESS/P.O. BOX ____________________________________________________
ADDRESS ____________________________________________________________
CITY _____________________________ STATE ________ ZIP__________-______
CITY _____________________________ STATE ________ ZIP__________-______
PHONE ( ________ ) ____________________ FAX ( _________ ) ______________
PHONE ( ________ ) ____________________ FAX ( _________ ) ______________
EMAIL: ______________________________________________________________
EMAIL: ______________________________________________________________
Item
Size
Total Qty
Method of Payment - Sorry, No C.O.D. Orders
Order information
Merchandise Total
ADVANTAGE FUND
Open Acct: Company purchase order and approved credit required; P.O. # ______________________
Prepaid: Check or money order payable to Staples Promotional Products for amount due
MasterCarD
VisA
American ExpresS
Discover
Account No. and Expiration Date
Most orders are processed in
2-3 days. Allow for delivery.
Personalized items will be
shipped separately in 4-6 weeks.
Sales Tax
MONTH
Product Name
(Orders cannot be delivered to P.O. Boxes.)
Color
YEAR
Signature (as appears on card) _______________________________________________
Cardholder Name (please print) ______________________________________________
Cardholder Billing Address __________________________________________________
Please print your CVC (Credit Verification Code) here: _______ _______ _____*
*This three digit code can be found on the back of the card in the signature field after the credit card number.
Shipping Charge
Staples Promotional Products uses a proprietary,
freight-on-the-fly quoting system that brings you real-time
costs for shipping—costs based precisely on what has
been ordered.
This system computes the weights and measurements
of the products selected and combines that information
with the ship-to postal zone of the package(s) to deliver
precise shipping costs for ground shipping as well as
expedited delivery.
If a freight quote is needed, please contact customer
service at 800-369-4268.
Prices supersede all previous price lists and are
subject to change without notice. We limit billable
overruns to the applicable manufacturer’s standard.
A Late Payment Service Charge of 1.5% per month
(18% per annum) is assessable after a 30-day
grace period. An insurance charge of 75¢ per parcel
valued over $100 may be added. All claims for
loss or nondelivery must be made within 10 days
of invoice date. Other claims must be reported
within 30 days of invoice date. Your purchases are
backed by our 90-day Satisfaction Guarantee. If
the merchandise you ordered does not meet your
expectations, we will gladly exchange it or accept
the return for a refund or credit within 90 days
from the day you receive your order. Our Customer
Service Department is available at 800-369-4268.
Return information is printed on the back of the
packing slip that accompanies your order. Returns
are not accepted without Staples Promotional
Products’ authorization. Some products may not be
returnable; contact Staples Promotional Products
for details. Distributed by Staples Promotional
Products, Orange City, IA 51041
Add State/Local Sales Tax Of Delivery
(Ship To) Address Above (Except AK & HI)
Tax Exempt:
(Enclose valid Sales Tax Exemption
Certificate with permit number. No tax exempt on Advantage Fund orders.)
Handling Charge
If Merchandise Total is less than $25, add $3.
Shipping Charge
International Orders
(International handling charge: (Canada, Mexico,
overseas and U.S. territories) $15.00 plus actual
freight. Does not include duties and taxes.
Order Total
(Payable in U.S. Dollars)
To place your order
(Advantage Funds can only be used by Alliance Nutrition
Merchandising Dealers)
CREDIT CARD, DIRECT BILL, or Advantage
Funds orders can be sent to:
Fax to: 712-737-3818
FAX lines open 24 hours!
For Online Ordering go to:
Mail to:Staples Promotional Products
1520 Albany Place SE
Orange City, IA 51041-0147
admani.corpmerchandise.com
Call Toll Free: 800-369-4268
Kelli Schorg
Phone: 888-443-4287 ext. 2441
Fax: 712-737-2408
[email protected]
7:00 a.m. to 5:00 p.m. (Central), Monday-Friday.
© 2011 Staples, Inc. All Rights Reserved.
Total Price
For Special Orders contact:
Flyer code: 51187 (3-12)
Download

ADM Alliance Nutrition®, Inc. Order Form