DAZ PL8S - Your License Plate by Year Headquarters
_____________________________________________________________ Date: __/__/2006
Ordered By:                           Ship To: (If different)
Name...:_                             Name...:_
Address:_                             Address:_
        _                                     _
City...:_                             City...:_
State..:___                           State..:___
ZIP....:_                             ZIP:_
Country:_U.S.A.                       Country:_
Phone#.:(  ) ____-_____       
e-mail.:_______________

[x] I have read the FAQ file and agree to the terms for ordering.
+---+-----+-----------------------------+-------------+--------+-----+-----+
|Sta|Year |Type and Description/Motto   |Colors       |Plate # |Grade|Price|
+---+-----+-----------------------------+-------------+--------+-----+-----+
| AL 1992s Passenger 2 Red Hearts (Dale) Blue on White 26CB 376 Mint- $4 
+---+-----+-----------------------------+-------------+--------+-----+-----+
|
+---+-----+-----------------------------+-------------+--------+-----+-----+
| 
+---+-----+-----------------------------+-------------+--------+-----+-----+
|
+---+-----+-----------------------------+-------------+--------+-----+-----+
| 
+---+-----+-----------------------------+-------------+--------+-----+-----+
|
+--------------------------------------------------------------------+-----+
|         |                                          Plates Subtotal |  
+---------+----------------------------------------------------------+-----+
|         |                                          Small Order Fee | 1.00|
+---------+----------------------------------------------------------+-----+
|         |                                     Shipping (See below) | 
+---------+----------------------------------------------------------+-----+
|         |                                    Cash Discount/Coupons |
+---------+----------------------------------------------------------+-----+
|         |                                                Insurance |
+---------+----------------------------------------------------------+-----+
|         |                                            Taxable Total |
+---------+----------------------------------------------------------+-----+
|         |                      Texas Residents add 8.25% Sales Tax |
+---------+----------------------------------------------------------+-----+
|         |                                                    Total | 
+---------+----------------------------------------------------------+-----+
 
Small Order Fee: Add $1 If plates total less than $25
Shipping.......: U.S. Addresses. (E-mail for rates outside the U.S.)
   1    plate  = $2.50 plain envelope (or $4.50 for padded box)
   2-4  plates = $4.50
   5-6  plates = $6.00
   7-8  plates = $7.00
   9    plates = $8.00 
   10+  plates = $8.50 
Cash Discount..: Take $1 off if paying by cash/check/money order
Coupons........: Enter coupons from previous orders
Insurance......: $1.50 per order (optional)
Sales Tax......: Only if shipped to a Texas Address
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Thank You for your Order.      Your satisfaction is guaranteed!
 
How did you hear about DAZ PL8S?

[ ] Recommended by friend/previous customer
[ ] Newsgroup - Name:___________________________________
[ ] Mailing List - Name:________________________________ 
[ ] Link from web page: ________________________________
[ ] Internet Search Engine - Name:______________________
[ ] Other:______________________________________________

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