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Your Company Name___________________________Date__________
Contact_______________ Phone_____________Fax__________
(To Order -- Please Print Form and Fax to 303-790-8782)
TRODAT 4915 Self Inking Stamp
SIZE 15/16" x 2 11/16"
 ____Specify Quantity
____Signature Stamp
____ Deposit Stamp
____Address Stamp
____Other (please Specify)
You may provide up to seven lines of imprint
Specify Color
___Black
___Red
___Blue
___Green
Copy Desired - Please print clearly on this form or attach sample
ALL OTHER STAMP REQUESTS
Company Name___________________________Date__________
Contact_______________ Phone_____________Fax__________
Quantity:______ (Please Print Form and Fax to 303-790-8782)
Type of Product Copy (Attach Artwork
_____Rubber Stamp if Necessary)
_____Ideal Stamp (Self-Inking)
_____Perma Stamp (Preinked)
_____X-Stamper (Preinked)
_____Notary Seal
_____Notary Stamp
( )Rectangular ( )Round
( )Include Expiration Date
_____Corporate Seal
_____Name Plate
_____Other ________________
_____________________
Color (if Self-Inking or Preinked)
_____Black _____Green
_____Blue _____Purple
_____Red (Black is Furnished
______________________________________________________
if no color is selected)
Type Size (1/8th“ characters Special Instructions
furnished if no size selected)
_____1/8“ _____1/4“
_____3/16“ _____1/2“
OR
Area To Fit_____Width x _____Height
OR
_____Match Sample Provided
_______________________
___Centered ____Flush Left
___All Caps ____Flush Right
Signatures: Provide Original Signatures (3) in Black Ink on White Unlined
Paper, sized to fit the size of stamp desired.
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