Order Form

Ordering is Easy! (Press Ctrl+P to Print)

Simply send us a non-returnable color sample along with your completed order form. Your sample should have a minimum flat surface of two inches square.

Your Name_________________________________

Company_______________________________

Shipping Address_______________________________________

City, State, ZIP__________________________________________

Telephone (with area code)_________________________________

E-mail address__________________________________________

Order Quantity

____ Aerosols (Order in multiples of 24)
____ Paint Pens (Order in multiples of 64)

Type of Material

____ Acrylic Lacquer
____ Acrylic Enamel
____ No Preference

Light Source

____ Incandescent
____ Daylight
____ Fluorescent

Method of
Payment

____ MasterCard
____ VISA
____ American Express
____ Personal/Company Check
(Orders are shipped when check arrives)

Cardholder's Name_____________________________________
(Exactly as it appears on the card)

Cardholder's Signature__________________________________

Charge Card #____________________________ Exp. Date __________

Approval Option:

____ I want to see a sample of MATCH-IT paint before I release this order.

____ Ship my MATCH-IT paint ASAP without my color approval.

Please Sign_________________________ Today's Date______________

We will contact you upon receipt of your order.

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