2012 New Catalog & Supplies
Convention Supply Pre-order Form
Park Lane is proud to introduce our:
New
catalog
New
fold-over invitation
New
postcard invitation
New
five-star hostess program brochure!
Item
Price
Quantity
Subtotal
2012 Monthly Planner (#2110)
$ 3.00 each
2012 Current Catalog (#500)
$ 1.50 each
Thank You Awards Brochure (#2213)
$ 5.00 / 20
Five Star Hostess Program (#2003)
$ 5.00 / 20
Post Card Invitations (#990)
$ 5.00 / 100
Fold-over Invitations (#015)
$ 10.00 / 100
New Flip Chart
$20.00 / 5
CHART FOR SHIPPING/HANDLING CHARGES:
AMOUNT OF SUPPLY ORDER CHARGE
$ 0.01 to $ 9.99
= $ 7.00
$ 10.00 to $ 24.99
= $ 9.00
$ 25.00 to $ 39.99
= $ 13.00
AMOUNT OF SUPPLY ORDER CHARGE
$ 40.00 to $ 119.99
= $ 18.00
$ 120.00 to $219.99
= $ 24.00
$ 220.00 to $229.99
= $ 30.00
$230.00 to OVER
= Call Office
Order Total:
Sales Tax:
Shipping/Handling:
TOTAL:
Ship my new supplies to the address below (Allow 5 days for shipping.)
*I will pick up my new supplies at Convention. (no longer available)
First Name:
Last Name:
Address:
Zip Code:
City:
State:
Select One
AE
AK
AL
AP
AR
AS
AZ
CA
CN
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
County:
Supply Order Form
THIS SECTION FOR CHARGES ONLY
VISA
DISCOVER
MASTERCARD
AMERICAN EXPRESS
CARD NO.
CID#
EXP. DATE
01
02
03
04
05
06
07
08
09
10
11
12
/
2012
2013
2014
2015
2016
2017
2018
2019
2020
CARDHOLDER’S INFORMATION
[
Copy Address Above
]
Name
Phone
Billing Address
Email
Zip Code
City
State
Select One
AE
AK
AL
AP
AR
AS
AZ
CA
CN
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Total Amount Charged
Comments :