INSTRUCTIONS

Enter details then print 2 copies (include 1 with order; keep 1 for your records)

Only one Summary form is required for each customer order. If more than one order is being combined into a single package, please include one summary form per person.

Note: Use
imprint forms separate from this form to specify cover imprinting details.

Complete PAYMENT section by hand after printing.




PROMOTION CODE
Some promotions require a promotion code. If you have a promotion code for this order, enter it here:

GOLDSTAMP ORDER SUMMARY FORM Scrapbook personalization from Goldstamp Custom Albums
Send order to: [Print shipping label] Goldstamp, 3910 Vogel Rd. Suite 115, Arnold, MO 63010
Scrapbook personalization from Goldstamp Custom Albums
Fields marked with asterisk (*) are required
CUSTOMER BILLING INFORMATION            Yes, I have ordered previously from Goldstamp

* First Name: 

 * Last name:

Company Name: 

* Email Address: 


  (Shipment notification will be sent to this email address)

* Street: 

* Address Type:

* City: 

 *

* Zip/Postal Code: 

  * Phone: 
Scrapbook personalization from Goldstamp Custom Albums
FIND YOUR SHIPPING CHARGE   *
** Free shipping with minimum $75 order for US shipments excluding Alaska and Hawaii.
Scrapbook personalization from Goldstamp Custom Albums
SHIP-TO ADDRESS    If Ship-To address is the same as above, check here

* First Name: 

 * Last name:

Company Name: 

* Street: 

* Address Type:

* City: 

 *

* Zip/Postal Code: 

  * Phone: 

Print 2 copies of this form. Complete section below by hand when you are ready to ship.Scrapbook personalization from Goldstamp Custom Albums

Payment Method form section

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