Wooden Nickel REPEAT Order Form

MAY 7, 2008
OUR LONG DISTANCE TELEPHONE SERVICE PROVIDER
has stopped providing 800 service
WE ARE TRANSFERING TO ATT
PLEASE BEAR WITH US
LOCAL NUMBERS ARE:
210-822-0552 or 210-930-1677

Repeat Order Form
(Repeat orders may change quantity, color, or minor text changes)
You will always get our current SALE offers,
AND an additional $10.00 OFF - and Repeat Logos are Free.

Please double-check all data, especially your email address, before pressing the
"Send Order" button below.
You will receive a confirmation email within a few minutes.

Fill out the form below and press "SEND ORDER"
This will automatically email this form to:
Old Time Wooden Nickel Co.
Use your mouse or "TAB" key to move to the next block.
Do not use the "ENTER" key.

In accordance with the Children's Online Privacy Protection Act (COPPA)
anyone under the age of 13 is prohibited
from entering information on this form
Federal Trade Commission (FTC) site explaining COPPA rules

This Form is for Repeat Orders Only

E-mail Address

RE-ENTER E-mail Address

Phone #s

Day Night FAX

PREVIOUS ORDER INFORMATION
Please fill out any info that will help us identify your previous order

Previous Invoice Number (If known):
Previous Order Date (Month/Year If known):
Name:
Size: Wooden Nickel (1.5")    Jumbo (2")
Previous Quantity:
EXACT REPEAT?
      YES (Exactly the same as last order)
      NO (Minor changes to one or both sides)

Special
Instructions

Select Quantity

100 250 500 750 1,000
1,500 2,500 5,000 10,000

OTHER (100 minimum)

Select Print Color for side 1

Select a Color for side 1

All Print Colors are Free (BOTH SIDES SAME COLOR)
For a "Different Color" on each side, color charge is
$3.20 per hundred pieces ($32.00 for 1,000 up to 5,000)
for your choice of any 2 of our 11 standard colors
("Different Color" is FREE when also selecting consecutive numbering)

Select Print Color for side 2

Select a Color for side 2

Date Required

Note: normal production time is 15 business days plus up to
5 days for shipping.

Enter Date Required Here:

Rush service is available:

10 business day production time
(plus NORMAL shipping time) - add 15% ($10 minimum)
-
5 business day production time
(plus NORMAL shipping time) - add 25% ($20 minimum)
-
1 business day production time
(plus NORMAL shipping time) - add 35% ($30 minimum)

Call us with your requirements for faster delivery,
so we can calculate the best rate for you.

Name

First Last

Company

Street Address

Address 2

City, ST ZIP

Payment Information

Please call us (AFTER completing AND sending this form)
Toll-Free at 1-800-750-9915 With Credit Card #

Here are the times to call for your time zone:
Eastern Time - 10:30am - 6:00pm Monday-Friday
Central Time - 9:30am - 5:00pm Monday-Friday
Mountain Time - 8:30am - 4:00pm Monday-Friday
Pacific Time - 7:30am - 3:00pm Monday-Friday
Alaska Time - 6:30am - 2:00pm Monday-Friday
Hawaii Time - 5:30am - 12:00Noon Monday-Friday

**********

Please double-check all data, especially your email address, before pressing the
"Send Order" button below.
You will receive a confirmation email within a few minutes.
You can reply to that email and attach your Logo graphic file.
Check our DESIGN page for info about artwork formats.

This Form is for Repeat Orders Only

Press the "Send Order" Button ONCE. It may take up to 2 minutes for processing. PLEASE WAIT

Press the "Send Order" Button ONCE. It may take up to 2 minutes for processing.
PLEASE WAIT