NOVELTY, ORDER FORM  PRODUCT AND SUPPLIES, NOVELTY  SOUVENIR

NOVELTY PRODUCT ORDER FORM
 

Please complete and sign the order form at the bottom of the page and mail it with your order form and payment. Order forms which are not signed will be discarded. Any field that does not apply, please leave blank. If you would like additional fields, please fill out the custom field and print legibly. Required info will be automatically encoded to the card.

Name:

Address:

City:

State/Province:

Zip:

DOB:

Sex:

Issue Number:

:

Place of Issue:

Card Number:

Custom Field:

 

 

 

 

LIFETIME SOCIAL SECURITY NUMBER INFORMATION CARD:
COMMEMORATIVE CERTIFICATES:


Payment Methods: British GBP  £45.00
Euro  €60.00 US Funds US$99.00
Cash ____FASTEST SERVICE  International Money Order ____ Traveler Check____ NO PERSONAL CHECKS

CERTIFICATE MAKER SOFTWARE:

Payment Methods: British GBP  £175.00 Euro  €279.00 US Funds US$399.00
Cash ____FASTEST SERVICE  International Money Order ____ Traveler Check____ NO PERSONAL CHECKS

Signature:

Please sign within the "Signature" box and please do not touch or cross the border lines.

YOUR SHIPPING ADDRESS

Name:

Address:

City:

State/Province:

Zip:

Country:

Email Address:

Phone Number: (optional)

Terms and Conditions: I, without reservation or restriction understand fully that this informationmail is in full color for reference only, and is not representative of any government affiliation, either local, state, or federal. These are not officially issued for any commercial purpose. I also attest that I am at least eighteen years of age.  I understand that purpose is for novelty educational purpose only. I agree to accept complete responsibility for any misuse of this instrument as stated in the original agreement between myself and the vendor. The vendor does not provide any warranties of merchantability for a particular purpose or no infringement. The vendor shall not be liable under any theory or for any damages suffered by the bearer of this instrument. I further affirm and attest that my signature below serves as evidence that I, the bearer/purchaser, agree to the aforementioned agreement in its entirety. I understand item is for educational  purposes only, and can not be used for real, legal or official purposes of any kind. I also understand that products are not affiliated to any state or federal agency or department. I agree that I will not alter, deface, photocopy, reproduce any references in any way shape or form. I further  agree to accept full and complete responsibility for the purchase, use or misuse of any product. These Terms and Conditions are legally binding in a court of law. I agree that by signing below, I have read all of the above stated facts and agree to all of the terms and conditions.

By signing below, I do hereby certify that I have read and agree to the terms and conditions of sale
and understand and agree to all of the terms and conditions therein.

 

 ____________________  X _____________________     _____________________
Name                             Signature                Date 

MAIL YOUR ORDER FORM TO:

Globe
34152 STN D
VANCOUVER, BC
CANADA V6J 4N2

NO FEDEX, UPS OR PRIVATE COURIER ACCEPTED.
USE YOUR LOCAL POST OFFICE MAIL OR COURIER
Global Priority or Express Mail

 

ALL ITEMS ON THIS SITE ARE PERSONAL  INFORMATION ITEMS ONLY - AND ARE NOT A OFFICIAL OR LEGAL FORM OF ANY INFORMATION  ISSUED BY ANY GOVERNMENT BODY