Supplies Order Form

Supplies Order Form
Quick Rewards #1 in the World

Company Name
Contact Name
Address
City
State
Zip
Country
Phone
Email
Credit Card
Card Number
Expires		Month Year
Flat Fee Shipping and Handling

Customer Rewards Printed Cards

Quantity	Cards in each Package	Price per package
	100	$139.95 each pack
	300	$399.95 each pack
	500	$599.95 each pack
	1000	$939.95 each pack
	5,000	$3,050.00 each pack
	10,000	$4,800.00 each pack
	25,000	$8,500.00 each pack
	50,000	$14,500.00 each pack

Hardware and Consumables

Quantity	Package Size	Price	Item Description
	10 pack	$49.95	Epson Printer Ribbons box of 10
	50 pack	$59.95	Epson 3" Roll Printer Paper box of 50
	each	$395.95	Epson TM200D Printer Serial Interface
	each	$14.95	Epson TM200D Printer Serial Cable
	each	$375.95	Card Reader Keyboard Wedge Connection

Customer Applications and Display
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Counter Display Customized with your card $29.95 ea This is a 4 color 8x10 display mounted on foam board complete with an easel. Quantity - (each)
Customer Applications Customized with your Logo $199.95 Package of 400 (Color) printed on #110 card stock 4.25" x 5.50" Quantity - (Pack of 400)
Customer Applications Customized with your Logo $49.95 ea (Black and White) printed on #110 card stock 4.25" x 5.50" Quantity - (Pack of 400)

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	Shipping
	Sales Tax AZ only
	Total For this Order

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Internet orders

Order by Fax 602-494-7154 or Print and Mail to:
Steve Karas and Associates, 3341 E Turquoise, Phoenix, AZ 85028

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