A-1 Flashlights Key-Mate Engraving Order Form
To have a product engraved, please complete this form, print it,
and fax it or mail it to the address below.

Please Note: There are NO Returns on engraved items. USE ONE FORM PER ENGRAVING.

1.  FOR KEY-MATE ONLY: barrel color: Black     LED color: White   Blue   Green 2.  Enter Quantity Desired: (24 Minimum, No Maximum) 3.  Print NAME to be Laser Engraved    (Up to 10 (ten) characters & spaces on one line.    OR up to 20. (twenty) characters & spaces on the two lines.)

Engraving Charges: Set up Fees: Free Tool Charge: Free Unit Charge: Free

 

Use UPPER CASE, lower case, or Title Case exactly as you want it to appear! Circle a font in the font box above.

Type Row 1 information here:

Type Row 2 information here:

   

4. Charges
Quantity	$ Total	Price and Description
		Key-Mate Lights @ $9.49      (No discounts apply)	Enter LED colors and quantities here Ex 12 White, 12 Green
		Subtotal
		VA Sales Tax 5%
		S/H ($5 until Nov 1)
		Total Amount

5.  Payment Information                       6.  Shipping Information

Credit Card	MC  VISA   AMEX		Name
Card Number			Company
Expiration Date			Add 1
Name on Card			Add 2
$ Amount			City
Billing Street			State
Billing Zip			Zip
Type Your Name			Phone
Signature			Fax
Date			Email

Print Form

Fax to A-1 Flashlights 1-540-548-8671
Mail: 11908 Oakhurst Drive/Fredericksburg, VA 22407-8557