Dash Plaque Order Form

Please print out this order form, enclose a check or money order, and mail it to:

The Right Impression
319 S Chestnut St
Kimball, NE 69145

For large quantities orders, please call for a price quote.

Phone/Fax: (308) 235-3386

Color Chart

Ordering Information
Name of Event	_____________________________________
Date of Event	_____________________________________
Style of Dash Plaque	____ Photo-engraved ____ Digital ____ Screen Printed
Size of Dash Plaque	_____________________________________
Background color/finish	_____________________________________
Imprint Color(s)	___________ Digital ___________ Screen Printed
		Total
Number of Plaques	_____________	x Cost per Plaque _______ $____________
Number of Plaques	_____________	x # of Additional Color(s)______ $____________
		Subtotal: $____________
Nebraska Residents Add	7.0% sales tax	Total: $____________
Shipping for Qty below 100. Above 100 Shipping is free		$4.75
		Total Enclosed: $____________
Shipping Information
Organization	_____________________________________
Your Name	_____________________________________
Your Address	_____________________________________
City/State/Zip	_____________________________________
DaytimeTelephone	_____________________________________
Fax	_____________________________________
E-mail Address	_____________________________________

Digital and screen printed dash plaques come with one imprint color included in the price. For quantity below 100 pieces the shipping cost will be $4.75 for priority shipping. Above 100 the shipping is free. If due to order arriving late and second day or next day shipping is required, the customer will be charged for the shipping.

All orders are shipped prepaid or C.O.D. Unless account is established. First time customers must send 50% deposit or charge to MasterCard or Visa.

Make checks payable to:

The Right Impression

Both VISA and MasterCard are accepted on phone or mail in orders.

Dash Plaque Order Form

Ordering Information

Shipping Information

Thank you for your order.