Custom Order Form

Organization:

Representative:

Account ID: (If applicable)

Title/Position:

Address:

City:

State:
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Zip:

Phone:

Fax:

Your Email:

Specify a Shape:
Select T-Shirt Rectangle Square Oval

Specify a String Color:
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Upload Artwork (if any):
 

Comments, Special Instructions:

Yes, I am interested in authorizing US International Inc. to distribute air fresheners for my organization.

I do not wish to place my order online. I will send US International Inc. the appropriate paperwork via fax or mail. It will include my organization's letterhead along with the corporate address and telephone number and authorized signature. I understand that my company has forwarded a business check or money order made payable to US International for the payment in full. I further understand that US will not start processing my order until checks have cleared.