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YOU MAY ORDER YOUR SELECTION ON OF THREE WAYS!
      PHONE IN YOUR ORDER T 251-743-7367
      MAIL YOUR FORM TO MFH - P.O. BOX 886 - MONROEVILLE, AL 36461
      FAX YOUR FORM TO 251/743-7364
Christmas card imprinting information:
A 100-card minimum is required for imprinting per design
Please allow for to six weeks for delivery.
Orders with imprinting must be received by November 15th.


Select from on of the two typestyles in black:
1. Your name in this type
2. Your name in this type
(Please circle your selection)

Imprinting Cost:
100-300 cards -$42.00
301-500 cards - $45.00
501 - up - $48.00
Item NumberDescriptionQuantity PriceTotal
1.
2.
3.
4.
Imprinting Costs _____________ S/H ___________ GRAND TOTAL _____________
Name _________________________________ Company Name ___________________
Street Address ___________________________ Mailing Address __________________
City ____________________________________ State ______ Zip _________________
Phone Number (____) _____________________ Fax (____) ______________________
Email address _________________________________________________________

CARD IMPRINT INFORMATION:

Name on card______________________________
Credit Card Type __________________________
Credit Card Number _______________________
Expiration Date ________ Signature ________________________________________
                          Shipping $ Handling on Order Total:
                          $12.00 – 24.99----------------------$3.00
                          $25.00 – 50.00----------------------$7.00
                          $50.01 – 75.00----------------------$8.00
                          $75.01-200.00----------------------$9.00
                          $201.00-up------------------------waived

Copyright 2001-2007, Monroe County Hospital
PO Box 886
Monroeville, Alabama 36461
Phone: 251-575-3111