Please print this form out on your printer

Then go back to the brass pen page and use the
tables to fill out the item number and design/message number. Remember
there are two pen types: Item number AR5 with the round cap and solid clip
and Item number AR8 with the flat cap and arrow shaped clip.

BRASS BALLPOINT PEN ORDER FORM
ARMU PRODUCTS
8322 Dalesford Rd,
Parkville, MD 21234-1050 USA
www.armuproducts.com
E-mail: Arnie@armuproducts.com
Phone (410) 661-6260 Fax (410) 661-5581
Please print clearly

Name________________________________________ Date __________________________

Street Address _____________________________________________________________

City ________________________________ State __________ Zip _________________

E-mail: ______________________ Phone (    )    -       Fax  (    )    -
____________________________________________________________________________
Item #   | QTY  | Design # / Message         | Pen Color  |  Price  | Total
_________|______|____________________________|____________|_________|_______
         |      |                            |            |         |
_________|______|____________________________|__BLACK_____|_________|_______
         |      |                            |            |         |
_________|______|____________________________|__BLACK_____|_________|_______
         |      |                            |            |         |
_________|______|____________________________|__BLACK_____|_________|_______
         |      |                            |            |         |
_________|______|____________________________|__BLACK_____|_________|_______
         |      |                            |            |         |
_________|______|____________________________|__BLACK_____|_________|_______
         |      |                            |            |         |
_________|______|____________________________|__BLACK_____|_________|_______
                                             |
Shipping and Handling charges:               |
Call ourt plant.                             | Merchandise Total....$_______
                                             |
                                             | MD residents add 6%
                                             |   sales tax..........$_______
                                             |
                                             |Add Shipping/Handling
                                             | (see chart on left)..$________
                                             |
                                             |TOTAL AMOUNT ENCLOSED.$________
_____________________________________________|______________________________
Make Check or Money Order (which must be issued by entities established in
the USA only and only in USA funds, and must clear the bank before releasing
merchandise) to: ARMU PRODUCTS
______________________________________________________________________________
                  PLEASE CHARGE THIS ORDER TO MY CREDIT CARD
               ( ) VISA   ( ) MASTERCARD   ( ) AMERICAN EXPRESS

( )Mr. ( )Mrs. ( )Miss ___________________________________________________
                   Your name exactly as shown on credit card

Credit card number_ _ _ _-_ _ _ _-_ _ _ _-_ _ _ _   Expiration (mo/yr)_ _- _ _

The 3 or 4 digit code from the back or front of your credit card:_____________

Name & phone # of the bank or entity that issued this credit card:____________

___________________________ Tel. #:___________________________________________

Signature of credit card holder:______________________________________________

Billing address of credit card holder:________________________________________

______________________________________________________________________________

Mail to: ARMU Products, Dept INT
         8322 Dalesford Road
         Baltimore, MD 21234-5010 USA
  Please allow 2 to 4 weeks for delivery -- Sorry: No COD's


Back to Brass Pens/Gifts From the Heart Page     Back to Promotional Products Page