This order form can be filled in on the Internet or downloaded in a PDF format to be filled in and faxed. Go to www.blumberg.com/contact.html Section B—Individual Items
Cat. No. Description and/or color Size Qty. $ Price
Print Order Form | E-mail Order Form | Reset Form
BlumbergExcelsior , Inc.
Since 1887
®
Add shipping and tax and total at bottom
Section C—Imprinted, Thermographed, Engraved and Printed Products
Cat. No. Description and/or color Format Size Qty. $ Price
See page 2 for ordering corporate kits, seals and certificates. Order by phone: 800 LAW MART (529-6278) Order by fax: 800 561-9018
For correct order processing, please write legibly.
Attention Firm Name
For certain products imprinting costs are extra and must be added to the base price. Consult catalog.
1. Name 2. Counselor at Law, Attorney at Law, etc. 3. Street Address 4. City, State & Zip Code 5.Telephone Number, if included in imprint. 6. FAX Number, if included in imprint. 8.Website, if included in imprint. 7. E-mail, if included in imprint.
Subtotal $
Street Address, Suite/Floor City, State, Zip
(
Business or
Residence)
Type styles for imprinted covers, envelopes, labels, etc.
Match enclosed sample as closely as possible
Important— if we have a question about the order: Tel. & Ext. Fax Ship to: (If different from “Ordered by”) E-mail
Roman Gothic Cheltenham ARIAL
GILBERT AND SULLIVAN GILBERT AND SULLIVAN GILBERT AND SULLIVAN GILBERT AND SULLIVAN
Attention Firm Name Street Address, Suite/Floor City, State, Zip Charge: MC Visa AmEx ( Business or Residence)
Options for legal covers, will supplies and mailing envelopes: Printing on flap of top bound covers @$6.00 (4 line maximum)...................................................................................................................$ Assorted colors or stock @ $4.50 each change .............................................................................................................................................$ Combine different sizes on imprinted covers @ $5.50 for each change of size ...........................................................................................$ Engraved, thermographed and printed stationery and imprinted products: Match enclosed samples as closely as possible. Follow enclosed layout. Send proof by; FAX to ( ) , mail, e-mail to Subtotal all items ordered above $ Orders under $50, add $8.95 for handling and shipping ......................................................................................................................................$ For deliveries in AL, AR, AZ, FL, GA, MS, NC, NY, SC, TX, or VA, add applicable sales tax. Shipping charge is taxable. ..........................................$ Total $
Card Number Signature BlumbergExcelsior Account Number Check enclosed. Indicate amount $
Expires
Open a house account (fill in the Application pdf at www.blumberg.com/contact.html and e-mail it to sl@blumb.com, or download and fax to us). Fax an application to: Fax No.:
®
Print Order Form | E-mail Order Form | Reset Form
BlumbergExcelsior , Inc.
®
Since 1887
®
Southeast Plant Orlando, FL
Northeast Plant Menands, NY
West Plant Arlington, TX
Order by Phone: 800 LAW MART (529-6278) Fax: 800 561-9018 Web: www.blumberg.com E-mail: order@blumberg.com
Corporate Kits and Seals Order Form
Order at www.blumberg.com and receive one Standard Clause free (value $9.95). Click Corporate, LLC & LP Products.
Section A —
Corporate State of
Complete Kits,
LLC
Seal,
Certificates
(For CA corporations, also see section below.) Price ...............................$
LP Kit Catalog No.
Year of organization (for seal)
Name is printed in CAPITALS unless specified otherwise.
Print corporate, LLC or LP name exactly as on organization document. (If longer than 45 characters, including spaces, add $13.00 for 2" die seal.)
For correct order processing, please write legibly or use above.
Attention Firm Name Street Address, Suite/Floor City, State, Zip Important— if we have a question about the order: Tel. & Ext. Fax Ship to: (If different from “Ordered by”) E-mail ( Business or Residence)
For corporations: Total shares autho. No par value or Par value $ each Loose Certificates (for SharePrinter). Certificates Certificates signed by bound if not checked. (Default titles, Corp.: President and Secretary-Treasurer; LLC: Member-Manager; and LP: General Partners) Corporation Options: Green border certificates supplied unless blue, orange or brown specified. Additional lithographed certificates @ .29 ea ............................................................................................................$ IRC §1244 complete set, plans, instructions, etc., $9.95 extra .....................................................................................................$ Standard clause No. (see list on page 46) $9.95 extra (One clause FREE, if you order online.)............................$
LLC Options: Authorized Units of Membership Interest, or Representative or Percent certificates Orders including seals: If 2" die seal required, add $13.00 ...................................................................................................$
California Corporations ONLY— Print the following clause (no charge for one clause), green certificates only.
Attention Firm Name Street Address, Suite/Floor City, State, Zip Charge: MC Visa AmEx ( Business or Residence)
5CCA standard clause (non-registration under state or federal law, use with §25102(f) exemption) 7CA2 Close corporation 7CA1 Transfer condition §25102(h) 7CA1 & 7CA2
California Professional Corporations
“Appropriate legends.” Tell us the profession. We will supply the “appropriate legend” on the certificate (available with green borders only) $29.95 extra ..........................................................................................................$ Professional By-laws (Blank State), Cat. No. 5162, $6.50 extra ..................................................................................$
Card Number Signature BlumbergExcelsior Account Number Check enclosed. Indicate amount $
Expires
No shipping charges on orders $50 or more; orders under $50, add $8.95 (Seals and stamps, $4.25.) ............................$ Express Shipments: Charge my account: Carrier Acct. No.
HI, AK, PR For Express Shipment..$ Charges for Kits, Seals, Certificates: 48 states major cities remote 2nd Day $9.95 $21.75 $35.00 Next Day $28.98 $39.95 $51.00 For deliveries in AL, AR, AZ, FL, GA, MS, NC, NY, SC, TX or VA, add applicable sales tax. Shipping charge is taxable...................$ No COD's accepted. Total price of corporate kit, certificates or seal $
Open a house account (fill in the Application pdf at www.blumberg.com/contact.html and e-mail it to sl@blumb.com, or download and fax to us). Fax an application to: Fax No.:
Most corporate kits shipped within 24 hours. The same day if order received by noon! No ground shipping charges on orders $50 and over to the lower 48 states and for Priority Mail of corporate kits to AK, HI, VI, PR & Guam.