2625 Sandy Plains

Road Suite 102

 Marietta, GA. 30066
(800) 899-9965   Fax (770) 955-3307

www.southernspecialtys.com

ORDER FORM

Please make sure you fill in all blanks below, so we can fill your order

After completing this form, please print out & mail to the address above.

Company Name
Address
City/State/Zip
Name
Signature
Credit Card #
Expiration Date
Phone Number
Fax Number
Email Address
UPS Account Number
Imprint Color
PMS Color


*Please submit your clean company artwork with your order.

LIST OF COST

MUG Quantity
Cost of Mugs ("per chart")

$65.00

Screen Charge
Shipping Charges ->If you don't have a UPS number, Please call (800) 899-9965 for shipping charges
Georgia Companies please add 7% sales tax
TOTAL to be sent with order by credit card number or check to above address

*This page is a secure page because it does not transfer any information.

@ 2002 Southern Specialtys All Rights Reserved