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Hospitality Products Order Form

Name:
Property Name:
City:
State:
Zip:
Phone: - Ext.
Fax: -
E-mail:
Billing Address: Physical Shipping Address:
Dept./Business: Dept./Business:
First Name: First Name:
Last Name: Last Name:
Street: Street:
City: City:
State: State:
Zip: Zip:

Product

Type

Quantity
Key Cards:
Envelopes:
Cleaning Cards:
Privacy Keys:

Types of locks on your property  (check one):    Card Thickness: 

Special Instructions:

The customer agrees to indemnity and save Philco Plastics harmless from any actions, suits, claims or demands which arise based upon allegations of infringement of patent or copyright or any other allegations whatsoever in respect to work ordered by the customer