Pegcil Order Form
INVOICE TO :
Organization
Street Address
Address(cont.)
City
State / Province
Zip / Postal Code
Country
SHIP TO :
Organization
Street Address
Address (cont.)
City
State / Province
Zip / Postal Code
Country
Y
our Order Number :
Contact Name :
(
*
is required)
First Name
*
:
Last Name
*
:
Title :
Work Phone
*
:
FAX :
e-mail
*
:
New Print Order? :
YES
NO
Do you want to print on the clip of Pegcil?
YES
NO
For New Print Orders :
Please enter your message or send us a photo ready artwork by e-mail.
Note :
16 characters per line including spaces. Max 2 lines. Print size will be scaled fit.
Select Pegcil Size :
Long(110mm)
Short(96mm)
Select Pegcil Body Color :
BLACK
WHITE
GREEN
BLUE
RED
YELLOW
Select Print Color :
NONE
BLACK
WHITE
GREEN
BLUE
RED
YELLOW
GOLD
SILVER
Select Print Order Quantity :
0
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
Select Unprinted Order Quantity :
0
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
Delivery Date Required :
-
-
-mm/dd/yy
HIROSAWA PACIFIC ENTERPRISES LTD.
#1501-1111 BEACH AVENUE,VANCOUVER BC CANADA V6E 1T9
TEL : 604.684.7814 FAX :
604.678.8971
E-MAILl:
sales@pegcil.com
©Copyright 2008 HIROSAWA PACIFIC ENTERPRISES LTD.
