www.plateshack.com/daz - DAZ PL8S - Your Specialty License Plate Headquarters ________________________________________________________________ Date: __/__/21 Ordered By: Ship To: (If different) Name...:_ Name...:_ Address:_ Address:_ _ _ City...:_ City...:_ State..:___ State..:___ ZIP....:_ ZIP....:_ Country:_ Country:_ Phone# :Optional e-mail :______________________ [x] I have read the FAQ file and agree to the terms for ordering. +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ |Sta|Year |Type and Description/Motto |Colors |Plate # |Grade|Price|QTY| Total| +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ | AL 1961 Passenger Heart of Dixie White on Blac XXX-000 VG+ $ 9.00 1 9.00 +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ | +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ | +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ | +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ | +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ | +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ | +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ | +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ | +---+-----+-----------------------------+-------------+--------+-----+-----+---+------+ | | Plates Subtotal | +---------+----------------------------------------------------------+-----+---+------+ | | Small Order Fee | 1.00 +---------+----------------------------------------------------------+-----+ +------+ | | Shipping (See below) | +---------+----------------------------------------------------------+-----+ +------+ | | Cash Discount | +---------+----------------------------------------------------------+-----+ +------+ | | Other Discount | +---------+----------------------------------------------------------+-----+ +------+ | | Taxable Total | +---------+----------------------------------------------------------+-----+ +------+ | | Texas Residents add 8.25% Sales Tax | +---------+----------------------------------------------------------+-----+ +------+ | | Total | +---------+----------------------------------------------------------+-----+ +------+ Small Order Fee: Add $1 If plates total less than $25 Shipping.......: U.S. Addresses. (E-mail for rates outside the U.S.) 1 plate = $6.00 2 plates = $9.00 3-10 plates = $10.00 11-50 plates = $17.00 51-99 plates = $23.00 100+ plates = FREE Cash Discount..: Take $1 off if paying by cash/check/money order Sales Tax......: Only if shipped to a Texas Address ********************************************************************** Thank You for your Order. Your satisfaction is guaranteed! How did you hear about www.plateshack.com/daz? [ ] Recommended by friend/previous customer [ ] Link from web page: ________________________________ [ ] Internet Search Engine - Name:______________________ [ ] Other:______________________________________________ *****End of text order form*****