SOUVENIR PRODUCT ORDER SEARCH FORM - PRINT AND MAIL THIS ORDER FORM
Complete sign and mail order form. Forms not signed discarded. If field does not apply, leave blank.

Please use the fields below to include all information pertaining to your order. Information which is not relevant
to your order will automatically be purged when your order is completed. Enclose any further info if needed.

ANY CUSTOM SOCIAL SECURITY CARD NOW ONLY:    US $65   AUD $70   CDN $65   GBP 40   EURO €45
Please use the fields below to include all information pertaining to your order. Information which is not relevant to your order will automatically be purged when your order is completed. Please specify product state:

NAME AS REQUIRED ON CARD :      FIRST                                       MIDDLE                                            LAST
 

SOCIAL CARD NUMBER: (OPTIONAL)  IF NUMBER NOT PROVIDED ONE WILL BE AUTOMATICALLY GENERATED

 

WHICH STATE, PROVINCE OR COUNTRY  DO YOU WANT CARD FROM?   

 

ADD GENUINE ORIGINAL HOLOGRAM FOR  AUD $35.00     GBP 25.00     EURO €30.00     US$35.00     CDN$35.00 
Please Add Shipping & Handling To All Orders:  AUD $20.00     GBP 15.00     EURO €15.00     US$15.00     CDN$15.00 
RUSH PROCESSING CASH ORDERS ONLY ADD  AUD $60.00     GBP 40.00     EURO €45.00     US$55.00     CDN$55.00 

PAYMENT IN ANY OF ABOVE CURRENCIES BY: CASH ___TRAVELER CHECKS FOR FASTEST SERVICE
OR INTERNATIONAL POSTAL MONEY ORDERS____ NO PERSONAL CHECKS OR US LOCAL POSTAL MONEY ORDERS WE DO ACCEPT US POSTAL OFFICE INTERNATIONAL MONEY ORDERS ONLY All Checks will be held for 30 days and order shipped after clearance

YOUR SIGNATURE:                                                     Any Other Information You Want Added:

 

PLEASE SHIP MY SOUVENIR SOFTWARE DESIGN PRODUCTS TO MY ADDRESS BELOW!

Name:
 

Address:

City:

State/Province:

Country:                   Zip Code:
 


E-mail Address: _________________________________________   Phone Number: _______________________

Terms and Conditions:  I state I am the person whom I represent myself to be herein, and I affirm the information within this product application is complete and accurate. I represent, warrant and covenant that: I am at least eighteen years of age and have the full right and authority to enter into this Agreement. I do not reside in any country to which import of souvenir design products are prohibited or restricted. I will not use any of the souvenir software designs in any manner prohibited by any laws, restrictions or regulations. My use of the souvenir design prints does not violate any applicable law or regulation of the country, state, or other   governmental entity in which I reside and accept full responsibility for the accuracy of the information contained in this application as solely mine. I without reservation or restriction understand fully that you are not an an issuing authority of any governmental entity or agency that is authorized to issue official identification documents, means of official identification, or authentication features. Any original designs are sold for novelty, commemorative, celebratory, commemoratory, dedicatory, in memory, in remembrance, memorial, observing as a memento, or for a collection or exhibit, for decorative purposes, for a dramatic presentation, such as a theater, film, or television production or for for any other recreational, souvenir or amusement purpose, and not for any legal or official purpose, and any souvenir design is not an authentication feature issued by or under the authority of any government, state, political subdivision of a state, a foreign government, political subdivision of a foreign government, an international governmental or an international quasi-governmental organization. I expressly acknowledge you reserve the right to change, modify, update or discontinue any design for any reason and elect to replace any design with an alternate design as updates become available. I understand any souvenir product is not to be used for any official purpose, or to use, deal with or act upon it as if they were genuine, or to induce any person by the belief that it is genuine. I understand the use or mention of any product name, image or trademark on your web site is in no way intended to suggest that any novelty product is an officially issued design as all images are trademarks or registered trademarks of original designers, and are for reference only.

By signing this agreement, I attest, affirm, and
my signature below serves as evidence that I, the bearer/purchaser, agree to the aforementioned agreement in its entirety and do hereby certify and accept all the terms and conditions contained herein, and agree to be bound by its terms and conditions.


_____________________________  X
________________________________________     _____________________    

 Name                                              Signature                                                Date

NO FEDEX, UPS, USPS EXPRESS OR PRIVATE COURIER ACCEPTED. USE YOUR LOCAL POST OFFICE MAIL OR
Priority International Mail or British Royal Express
FOR FASTEST SERVICE.                        
      

MAIL YOUR ORDER FORM AND PAYMENT TO ADDRESS BELOW:  If sending international money
order or traveler checks  
leave the 'Pay to:' / 'Payee:' / 'Pay to the order of:' field blank. Do not
enter our mailing address in the payee field

                                                                                                                                           

GLOBAL MAIL REDIRECTION

34152 STN D
VANCOUVER, BC
CANADA V6J 4N2