firedeptthumb.gif (13365 bytes)

Austin & Son
180 S. Main St.
Shreve, OH 44676
Ph. (330) 567-9703

firedeptthumb.gif (13365 bytes)

License Plate Order Form

Series 100

4"x11 3/4" 

Qty.

Series 200

6"x11 3/4"

Qty.

Imprint

Twp., Village, City or Dept. Imprint

Unit Price

Total

106

 

206

 

Firefighter

 

$12.00

 

107

 

207

 

Volunteer Firefighter

 

$12.00

 

108

 

208

 

Fireman

 

$12.00

 

109

 

209

 

Volunteer Fireman

 

$12.00

 

110

 

210

 

Member Fire Dept.

 

$12.00

 

111

 

211

 

Chief Fire Dept.

 

$12.00

 

112

 

212

 

Asst. Chief Fire Dept.

 

$12.00

 

113

 

213

 

Captain Fire Dept.

 

$12.00

 

114

 

214

 

Lieutenant Fire Dept.

 

$12.00

 

115

 

215

 

Dep. Chief Fire Dept.

 

$12.00

 

116

 

216

 

Engineer Fire Dept.

 

$12.00

 

117

 

217

 

Asst. Engineer Fire Dept.

 

$12.00

 

118

 

218

 

Treasurer Fire Dept.

 

$12.00

 

119

 

219

 

EMT

 

$12.00

 

120

 

220

  EMS  

$12.00

 

121

 

221

  Paramedic  

$12.00

 

N/A

 

222

  Truck Number Number:

$12.00

 

N/A

 

223

  Engine Number Number:

$12.00

 

N/A

 

224

  Rescue Number Number:

$12.00

 

N/A

 

225

  Pumper Number Number:

$12.00

 

N/A

 

226

  Tanker Number Number:

$12.00

 

127

 

227

  Member Rescue Squad  

$12.00

 

128

 

228

  Chief Rescue Squad  

$12.00

 

129

 

229

  Asst. Chief Rescue Squad  

$12.00

 

130

 

230

  Captain Rescue Squad  

$12.00

 

131

 

231

  Lieutenant Rescue Squad  

$12.00

 

401

 

N/A

  New Plate  

$12.00

 

402

 

N/A

  New Plate  

$12.00

 

403

 

N/A

  New Plate  

$12.00

 

404

 

N/A

  New Plate  

$12.00

 

405

 

N/A

  New Plate  

$12.00

 

406

 

N/A

  New Plate  

$12.00

 

Property Identification Decal Order Form

Check One

Quantity (Individual Cost)

Qty. Price

Total

Fire Department

100 ($.45 each)

$45.00

 

EMT

200 ($.40 each)

$80.00

 

EMS

300 ($.35 each)

$105.00

 
EMA

500 ($.28 each)

$140.00

 
 

1000 ($.22 1/2 each)

$225.00

 
TERMS: All orders must be prepaid by check or money order.  

SUBTOTAL

 
Minimum Order: 12 tags in any combination or imprint.  

S & H

$6.00

Please allow 4-6 weeks for delivery.  

TOTAL

 
Ship To:
Street Address:
City, State & Zip:
Phone Number: (      )
Authorized Signature:
Special tags made to your specifications are available. Send for pricing info. Send for quotes on larger quantities. Remember to include both order forms when mailing so we receive all necessary information for shipping. Thank you, Austin & Son.