On-Line
Order Form

721 York Street, P.O. Box 72430
Newport, KY 41072-0430
Phone: (859) 261-2035 
Fax: (800) 261-TAGS (8247)
International Fax: (859) 261-TAGS (8247)

Click here for foreign orders

Email Address: 
(Required so we can confirm receipt of your order)

Purchase Order Number: 
Purchasing Department Email Address: 
Purchasing Department Phone Number: 
(Required for any institution that uses purchase orders)

Billing Address:

 
Name 
Company 
Street(POB)
City  State Zip Code 
Country
Phone
FAX 

Delivery Address: (if different from "Billing Address")

 
Name
Company 
Street
City  State Zip Code 
Country
Phone
FAX 

Today's Date: Date Delivery Required:  (mm/dd/yyyy)

Shipping Method:

UPS Parcel Post Next Day Air 2nd Day Air Truck Other

Payment Method:

MasterCard  Visa   Discover  American Express
If you'd like to open an account, check here and we'll fax or mail a credit application.
Bill Us: Account No. 
Cardholder's Name
Credit Card#
Expiration Date  (mm/yy)
Security Code (on back)

Quantity Style Size Color Material Item Name Number Series
Starting # Ending #

Special Stamping
(spec. dimensions, holes, etc.)
Weight Unit Price Totals
SPECIAL CHARGES: Add only when they apply to your order.
Shipping & Handling Charges: Multiply weight times zone, then add $6.50 for Total Shipping & Handling
 
Shipping and Handling Charges (UPS Ground or Parcel Post only- contact us for quote on other methods)
Zone 1
$.40/lb.
  Zone 2
$.50/lb.
  Zone 3
$.70/lb.
  Multiply 
weight
times
zone then
add $6.50 for
Total
Shipping &
Handling
Total lbs. Weight
    TERMS
AL AR GA CT DC DE AZ CA  
IA IL IN FL KS MA CO ID Zone Charge
X
   
KY NJ NY ME MN ND MT NM  
MD MI MO NH NE OK NV OR + $6.50=
MS NC OH LA RI SD UT WA TAX (KY Residents only)
PA SC TN TX VT   WY     Minimum Order
$25.00
Total $
VA WI WV          

Special Instructions:


 


When finished, press Submit Order to send.
 

Thank You!


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