Covey Basics Stamp Order Form
			Print this document then Fax to Customer Service at 506-453-1009 or toll free to 1-800-561-3448
Customer Information					Indicate Item Ordered:
Date:			PO#		Rubber Stamp			Seal
					Colop Self-Inking			Ink Pad
Name/Account:					Colop Model#			Die
					Definance Dater			Name Badge
Ordered by:			Price:$		Pre-Inked Stamp			Name Plate
					Signature Stamp
Phone:			Fax:		(5 copies of signature required on separate page)
Area Size	Position of Line (circle one)			Border		Logo		Quantity
	Centered	Flush Left	Flush Right	Yes     No		Yes     No
Ink Color		Font Style			Style Code
(Circle one)					(Circle one)         (Regular - All Caps if not specified)
RED	BLACK	1.HELVETICA    3.		5.Bank Script	1.  CAPITAL       2.  BOLD        3.  ITALIC
GREEN	BLUE	2.  ROMAN		6.  OTHER	4.  Upper & Lower     5.  BOLD ITALIC    6.  OUTLINE
NAME BADGE			NAME PLATE
Type:			Type:
Fastener:			Holder:
			Size:
Style Code	Line	Font Style	Description         (please print:  Show Upper and Lower case letters)
	1
	2
	3
	4
	5
					Special Instructions:
Covey Order:
Flewwelling Invoice:
Flewwelling Work Order:
Cost:
Retail:
Invoice:		Customer Signature:				Staff Signature: