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    DESIGNING Your Image is a Big Deal to US       National Sale       Fast Service

        ORDER FORM          Custom Design Expertise At Affordable Prices

     DATE: 
     AGENT NAME:  
     FIRM NAME:  
    ADDRESS:  
    CITY:  
    STATE:      ZIP:    e-Mail:  
    Firm Phone #:      Fax #:  
    YARD SIGN PRINT INFORMATION
    2 AGENT"S  NAME:                                   
    TEL.#  (IF DESIRED)     
    3 OFFICE NAME  
       (IF DESIRED)   
     
    4 OFFICE TEL.#
    (AREA CODE IF DESIRED)
     
      AGENCY TEL.#
     
                            
           ITEM#   YARD SIGNS           QTY.        WHITE FRAME      Black FRAME  
      
      
      
      
      
    GROMMETS - SPECIFY INFORMATION
    HANGING SIGN HOLES-CENTER TO CENTER
          Standard      14.25"     0.25" down      
          Standard      17.00"    0.625" down     
           Custom      inches           down
      DIRECTIONAL SIGN INFORMATION
    NAME (1st Line)
    2nd Line (If Desired)
    12"X18"      QTY.         WHITE FRAME  

       Black FRAME  

      
      
      
      
        
    information 
    18"X 24"      QTY.         WHITE FRAME  

       Black FRAME  

      
      
      
      
      
      
     Item # Q'TY DESCRIPTION
               
         
    Upon receipt of order will confirm by phone with your total and
    payment information

    All prices are subject to change.


    2905 Amwiler Rd. Suite D Atlanta GA, 30360    
    (770)987-9898,       1-800-451-9878
     FAX: (770)987-5131,  1-800-987-5131
    E-Mail:
        sales@samsign.com
    Updated 5/17/2010