ALFRED Envelope Co.
www.alfredenvelope.com
Order Form for Fax or Mail (Please print this form and complete)
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800.523.0801 (toll free) • 215.739.6269 (fax)

Telephone Number:
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Date:
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Your Name:
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Purchase Order #
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Optional: Enter e-mail address for notification that your order has shipped, & UPS tracking number:
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Billing Address:
Shipping Address (if different):
Company Name:
 _______________________________
Company Name:
 _______________________________
Address:
 _______________________________
Address:
 _______________________________
Address:
 _______________________________
Address:
 _______________________________
City:
 _______________________________
City:
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State & Zip:
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State & Zip:
 _______________________________

Quantity
to Ship
Quantity
to Hold
in Stock
Item Number
Description
(use as many lines as needed)
Unit Price
Total Price
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Please Check One:

_____ Please bill my account and invoice me.

_____ I do not have an ALFRED credit account. Please contact me regarding payment or establishing an account. (For security reasons, please do not include your credit card information. We will contact you to confirm the order total and discuss payment options.

ALFRED Envelope Co. • 3536 N. Mascher Street • Philadelphia • PA • 19140 • www.alfredenvelope.com