Fax: 1-800-825-7023 or Visit: www.officemaxsolutions.com

Custom Stamp Order Form
FOR YOUR CONVENIENCE, PHOTOCOPY THIS ORDER FORM FOR FUTURE USE.
ORDER BY FAX OR ONLINE
ORDER BY FAX
Fax: 1-800-825-7023
Visit: www.officemaxsolutions.com
Fax:or1-888-847-5109
Questions
Questionsbefore
beforeordering?
ordering?Please
Please call
call 1-800-808-6886
1-800-283-7674
Signatures
must
bebe
submitted
in inactual
in black
black ink
sheetofofwhite
whiteunlined
unlined paper.
please
Signaturesand
andLogos
Logos
must
submitted
actualsize
sizetotofitfitstamp
stampordered
ordered and
and must
must be
be in
ink on
on aa separate
separate sheet
paper.For
Forsignature
signature orders,
orders, please
submit three (3) original signature examples. Signatures and Logos must be mailed to OfficeMax, 1590 1st Ave., Ottawa, IL 61350 Attn.: Custom Dept. and will require
submit three (3) original signature examples. Signatures and Logos must be mailed to OfficeMax, 441 Landmark Dr., Casper, WY 82609 Attn: Custom Dept.
additional time to ship. Custom order is not subject to change or cancellation and is nonreturnable. Prices valid through December 31, 2012.
and will require additional time to ship. Custom order is not subject to change or cancellation and is nonreturnable. Prices valid through December 31, 2010.
SHIPTO
TO(PLEASE
(PLEASE
PRINT
CLEARLY)
SHIP
PRINT
CLEARLY):
PIN
ACCOUNT #
COMPANY
EMAIL ADDRESS
CONTACT NAME
PO #
ADDRESS
CREDIT CARD #
SUITE, RM., FL.
RELEASE
PHONE #
(
)
FAX #
(
)
ROUTING
SHIPPING INFORMATION: Orders shipped within 5 days.
Please allow for normal transit time from manufacturer.
PLEASE USE ONE ORDER FORM PER ITEM.
Please use one order form per item.
ACCU-STAMP ®
Pre-Inked Stamps
with Post-it® Flags
Xstamper®
Pre-Inked Stamps
21151290
$00.00
21151307
$00.00
21491146
$00.00
21151316
$00.00
21151334
$00.00
21523111
$00.00
2000 PLUS ®
Signs
Stamps
Please check the appropriate
box
Self-Inking
21257337
$00.00
21257827
$00.00
21257774
$00.00
21257783
$00.00
21257747
$00.00
®
2000 Plus$00.00
21151325
®
Accu-Stamp21257756
$00.00
21257809
$00.00
21725652
$00.00
21725849
$00.00
®
Xstamper
21151352
Replacement Pads
$00.00
$00.00
$00.00
R1ARP, Replacement
Pad 1-Color,
$8.90
21491020
$00.00
Stamp Item No. for Replacement Pad: ______________
Programmable Speed-I-Jet
$00.00
EVOSTAMP ® Pre-Inked Dater
R1ARP2, Replacement Pad 2-Color, $9.90
21496784
21508995
$000.00
Stamp Item
No. for Replacement
Pad: ______________
(RED DATE ONLY)
$00.00
Black
Red
Blue
(Stamp & Pad)
Copy ColorCopy
(Daters)
Date Date
ColorColor
Color (DATERS)
Ink Color (STAMPS & PADS)
Green
Violet
Black
Pink
Red
Stamp Typestyle
Choice
Blue
Black
Red
Green
Blue
Violet
Helvetica Medium
Times
New Roman
PRINT YOUR CUSTOM COPY BELOW:
Zapf Chancery
Green
Violet
Black
Red
Black
Red
Green
Blue Black
Violet
SpecialBlue
Instructions
Caps
Upper/Lower
Match Sample
2000 PLUS ®
Please check the appropriate box
& Name BadgesSelf-Inking
Stamps
21151156
21493457 Replacement Pad
$00.00
$0.00
$00.00
21151165
21493466 Replacement Pad
21151192
21145208 – Dual Pad
21725769 – Green Line
Date
Stamp Replacement Pad
21493484
21151209
21151183
$00.00
21493135 Replacement Pad $0.00
21151227
$00.00
21493126 Replacement Pad $0.00
$0.00
$00.00
$00.00
21151236
$00.00
21493117 Replacement Pad $0.00
21151174Wall
$00.00
Name
$00.00
Desk
$0.00
Sign
21493475
SignReplacement Pad
$00.00
21145217 – Dual Pad
$00.00
Holder Color
21725741 – Green Line (Standard) $00.00
21570685 ReplacementGold
Pad
$0.00Black
21151218
Silver $00.00
21145226– Dual Pad (Designer) $00.00
21725750 – Green Line Black $00.00
21493448 ReplacementGray
Pad
$0.00
SPECIFY INK COLORS, IF INK COLOR IS NOT CHOSEN, BLACK WILL BE USED
Ink Color
EXP
COST CENTER
CITY, STATE, ZIP
Stamps
CONSIGNEE#
Adhesive Tape
Times New Roman
Zapf Chancery
Add Border
Flush Left
Centered
Bold
(actual typed or stamped text)
Drill Holes
$00.00
Foam
Tape
21533306
– 1-Color Pad
No Backing
$0.00
21570694 – 2-Color Pad
$0.00
21151147 – Light Duty
Helvetica
Medium Gothic$00.00
21491002
$00.00
Optima – Metal-Dual PadFutura
Caps
Times
New–Roman
21721638
Green Line
$00.00
21493082
– 1-Color
Padorder form
$0.00per item.
Please
use one
21493091 – 2-Color Pad
$0.00
Item No.
Special Instructions
Quantity
Print your custom copy below:
$00.00
Sign & Name Badges Typestyle Choice
Helvetica Medium
Blue
Swivel Clip
Wall Sign Backing Tape
$00.00
21721629
– Green
® Line
VELCRO
Typestyle Choices
Red
Pin Back
21151138 – Light Duty
21145164 – Metal-Dual Pad
Plastic
Color No.
$0.00
Badges
®
2000 PLUS
Badge
Fasteners
Self-Inking
Daters
Caps
Add Border
Flush Left
Upper/Lower
Centered
Bold
Matchis Sample
If no quantity
entered, we will produce one.
Item Price
TYPE SIZE WILL BE INCREASED TO FILL IN STAMP SIZE ORDERED.
IF NO TYPESTYLE, INK OR FORMAT IS CHOSEN, WE WILL DEFAULT TO HELVETICA CAPS, BLACK INK AND CENTERED FOR STAMPS.
NOTE: FAXING CAUSES SHRINKAGE. IF YOUR STAMP REQUIRES EXACT MEASUREMENTS PLEASE NOTE DIMENSIONS IN SPECIAL INSTRUCTIONS.
OFFICEMAX USE ONLY:
LOCATIONS #
INVOICE #
QUANTITY
Total
Price
TOTAL PRICE
IF NO QUANTITY IS SELECTED,
WE WILL PRODUCE ONE.
.
2012 OrderDATE
formENTERED
for pages 1124–1130. Rush orders only
apply to shipping and will not expedite processing time:
Type Size will be increased to fill in stamp size ordered. If No typestyle, ink or format is chosen, we will default to helvetica caps,
2ndDay
Day(CHARGES WILL BE ADDED TO YOUR INVOICE)
Order form
for pages
orders
onlyblack
apply
to white
shipping
and will
expedite processing time. Ship:Next Day
Next Day
2nd
black ink2010
and centered
for stamps.
For 1044–1049.Rush
sign or badge, Gothic,
All caps,
with
lettering
will not
be chosen.
Note: faxing causes shrinkage, if your stamp requires exact measurements please note dimensions in special instructions.
Charges will be added to your invoice.
officemax use only:
location # __________________________________
Invoice # __________________________________
date entered ___________________________________
1131