At this time we do not have the secure web page set up, but it is in the works. For now, PRINT out the ORDER BLANK below and send in or FAX to us. We will also take your PHONE order. Please be patient when we ask you to verify that we have everything spelled correctly. If you have not picked a sample design yet, please visit our SAMPLES page and write down the number that you like.
Design # from the SAMPLES page _________________________ or
Background COLOR ______________________________________
or if you furnish your own artwork
Picture file name __________________________________________
TEXT (number of lines will vary depending on design)
Line #1________________________________________________
Line #2________________________________________________
Line #3________________________________________________
Line #4________________________________________________
Line #5________________________________________________
___ PIN or ___ CLIP or ___ MAGNET or ___ LUGGAGE STRAP
Name ________________________________ Call _____________
Address _______________________________________________
City _____________________________ State _____ Zip __________
Phone __________________________________________
Email ___________________________________________
Quantity _______ @ $ _________________ = $ ________________
Credit Card # ___________________________________Exp ___ / ___
Harlan Technologies - 5931 Alma Dr. - Rockford, IL 61108-2409
Call the order in to: 815-398-2683 - Voice - Or print out and Fax to: 815-398-2688 - Fax
We accept VISA - M/C - AMEX and your check
