To order, print this form, fill in the design numbers you want beside each item, and fax to: 800-721-5922 Or you can reach us at: 25117 Cedar Creek Drive, New Braunfels, Texas 78132 Email: jades@hughes.net (830) 626-2025

Item	Design Number			Retail Price
Travel ID Holder				$9.00 each
Security Badge Holder				$6.50 each
ID or Business Card Case				$8.00 each
Credit Card Case (8 Pockets)				$9.00 each
Checkbook Cover				$12.98 each
Address Book (6"X8")				$22.00 each
Catalog				$4.00 each
Journal (6"X8")				$18.00 each
ID Tags (luggage, backpacks, gym bags, musical instruments, etc.)				$5.00 each
Large Credit Card Case				$12.00 each
Checkbook Cover with Credit Card Insert				$15.00 each
Take-Out Menu Holder				$20.00 each
(see chart below) Shipping:
Total:

Shipping Charges (within USA)

$0 to $16.00	$5.85
$16.01 to $36.00	$6.90
$36.01 to $60.00	$7.40
$60.01 to $100.00	$9.80

Shipping Information

Name:
Address:
City:
State
Zip Code:
Phone: (Including Area Code)
Method of Payment: (Please circle one)	Visa	Mastercard	Discover
Credit Card Number:
Expiration Date:		3 Digit Code:
Name of Cardholder:
Customer Signature:

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