SHIPPING NAME:

SHIPPING COMPANY:

SHIPPING ADDRESS:

CITY:                                                                    STATE:                     ZIP:

PHONE:                                                                 FAX:

EMAIL:

A valid email address is required and used for ALL communication. Please be sure it is legible, our address is not blocked by spam blockers and be sure to check it frequently. Approval is required for ALL changes to stock designs (except year changes) and proof will be emailed to you for approval before we can start your order. If we have a question and cannot email you, your order will be delayed.  If you have already approved your design you must include the custom file name emailed to you (includes your last name and numbers).  You may also include a printout of the design you choose. You will receive an emailed confirmation upon receipt of your order.  To ensure accuracy PLEASE include the Stock # AND the filename of your design(s)

TYPE:       CERTIFICATE

QUANTITY  :

 STOCK DESIGN  # :                                                                                 

TEXT ON CERTIFICATE:

TYPE:       CERTIFICATE

QUANTITY  :

 STOCK DESIGN  # :                                                                                 

TEXT ON CERTIFICATE:

TYPE:       CERTIFICATE

QUANTITY  :

 STOCK DESIGN  # :                                                                                 

TEXT ON CERTIFICATE:

Use another Sheet for additional Designs

*Date Needed:                                                     

Total # of Certificates Ordered_____ X $2.00 ea.

 $

Shipping Charges $6.00 Priority Mail or $3 first class up to 5

 $       

Total amount sent   check/money order  or  Paypal

 $

Please send a check payable to Little Awards. You may also go to www.paypal.com to pay by credit card. Pay to email address littleawards@epilogsys.com. *Please allow approx. 2 weeks for delivery from design approval (with priority mail) Orders may take longer during the April/May awards season. Delivery dates are not guaranteed.  Product satisfaction is guaranteed or your purchase price will be refunded. Completed Order form Required for all orders.     (Rev. 04/08)