| Ship to: | Phone #: __________________________ |
_________________________________ |
Email: __________________________ |
| Payment Type: Visa Mastercard Check Money Order | |
|
_________________________________ |
Card # ____________________________ |
_________________________________ |
Expiration Date ___________________ |
|
Label No. Quant.(No.Sheets @ $3.00 per sheet) 6 labels per sheet Total
3 sheet minimum |
| ___________________________________________________________________________________________ |
| ___________________________________________________________________________________________ |
| ___________________________________________________________________________________________ |
| (Center Names, Dates, and side wordage)___________________________________________________ |
| ___________________________________________________________________________________________ |
| ___________________________________________________________________________________________ |
| ___________________________________________________________________________________________ |
| ___________________________________________________________________________________________ |
| California residents must add 8.25% sales tax to all purchases. | Set Up Fee ($5.00 per Label Design) | ____________ |
| Non Taxable Subtotal | ____________ | |
| Taxable Subtotal | ____________ | |
| Tax | ____________ | |
| If mailing this form send it to: | Total Due | ____________ |
Sundown Online 6250 North Pointe Ct. Aptos, CA 95003 Thank you for choosing Sundown Beer and Wine Labels!