|
Austin & Son |
|
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 | $12.00 |
Property Identification Decal Order Form |
Check One |
Quantity (Individual Cost) |
Qty. Price |
Total |
||
|
100 ($.45 each) |
$45.00 |
|||
|
200 ($.40 each) |
$80.00 |
|||
|
300 ($.35 each) |
$105.00 |
|||
|
500 ($.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. |