Email: customerservice@rochester100.com
ORDER FORM
4 POCKET FOLDERS ® NICKY’S
Bill to:
WITH Holes #8004
NO Holes #8004-N
White Red Black Navy Blue Green
EMAIL ADDRESS
Metallic Violet Metallic Blue Metallic Green Metallic Silver Metallic Maroon
Ship to:
Metallic Gold Powder Blue Pink Clear Yellow Orange TOTAL # OF FOLDERS
Payment Method:
Purchase Order
PURCHASE ORDER #
Credit Card
X PRICE PER QTY $__.___
CREDIT CARD #
(VISA, AMEX or MASTERCARD )
SALES TAX * If exempt, must submit exempt form with order
$
EXPIRE DATE
CVV#
Check/Money order (Mail with order form. Allow 12 days to process check.)
TOTAL $
SHIPPING
Customer Support 1-800-498-1463 6am 5pm EST. •
FREE on all Nicky’s Folders in the USA
www.rochester100.com
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