Custom Picture Plate - Order by Mail - Photo on a Plate, Picture Plate, Plate Hangers, Plate Stands

Custom Picture Plate Put Your Photo on a Plate! Custom Picture Plates - Logo Plates - Photos on a Plate

Mail Order Form-Please fill in the order form completely. Then print the order form and mail it with your picture or disk and your method of payment to: Halsey, Inc, Route 706, P.O. Box 399, Montrose, PA 18801-0399, or you may fax your order to 570-278-3606 and email your digital photo. Please make sure you put your name on the back of the photo, being careful not to press to hard as you may damage your photo. Your product should typically be shipped in less than 2 weeks.

Ordered By:	Ship To:
Name	Name
Address	Address
City	City
State Zip	State Zip
Phone: Day	Phone: Day
Phone: Evening	Phone: Evening
Email Address	Email Address


Qty.	Item Number	Name of Item	Price Each	Total
	CPP-10	Custom Picture Plate	$13.50
	CPP-10B	Custom Picture Plate with Border Black Purple Blue Red Green	$15.00
	CPP-10HB	Custom Picture Plate with Heart Border	$15.00
	CPP-I10	Imprinting Information: Limit 3 Lines, 20 Characters/Line	$3.50
	GFT-CPPW	Custom Picture Picture with Walnut Finish Frame Gift Certificate	$26.50
	GFT-CPPO	Custom Picture Plate with Oak Frame Gift Certificate	$31.50
	OAK-10	Round Oak Frame	$17.99
	WAL-10	Round Walnut Finish Frame	$12.99
	48-0030	Brass Plate Wire	$1.25
	49-0130	Brass Plate Wall Hanger	$1.75
	40-0310	Wrought Iron Plate Hanger-Triangle Black	$2.50
	40-0310G	Wrought Iron Plate Hanger-Triangle Gold	$2.50
	40-0400	Wrought Iron Plate Hanger-Rectangle Black	$3.50
	40-0400G	Wrought Iron Plate Hanger-Rectangle Gold	$3.50
	40-0315G	Ornate Brass Plate Holder-Top Piece	$4.50
	40-0325G	Ornate Brass Plate Holder-Extension	$4.50
	49-0240	Stretcher Plate Hanger	$1.50
	227-PLW	Hardwood Walnut Finish Plate Stand 9"	$3.25
	227-PLB	Hardwood Black Finish Plate Stand 9"	$3.25
	46-0190	Black Plastic 9" Stand with Gold Trim	$1.75
	50-0661	Adj. Brass Stand-Leaf	$2.20
	50-0664	Adj. Brass Stand-Fleur	$2.20
	50-0302	Brass Plate Stand	$2.50
	50-0104	Twisted Wire Brass Easel	$2.50

		Merchandise Total
Shipping & Handling		Sales Tax-6% PA Only
Order Amount	Price	Sub Total
$0.01-$14.99	$5.95	Shipping & Handling: See Chart
$15.00-$29.99	$7.95	**Priority Mail
$30.00-$74.99	$9.95	*Insurance-$1.00**
$75.00-$199.99	$13.95	Total Amount
$200.00 & UP	$14.95
If you wish to have your plates shipped Priority Mail please add an additional $2.50. (International Customers & Customers from Alaska, Hawaii, Guam, Puerto Rico, Virgin Islands & APO addresses, please email or call for shipping charges.) SPECIAL INSTRUCTION FORM BELOW**


Method of Payment
	Visa **Security Code #_____	MasterCard **Security Code #_____
	Checks/Money Order (US funds only)	Gift Certificate
Account Number Exp. Date
Cardholder's Signature

**Security Code Number is the Three digit number on the back of your card.

*Optional Insurance is for loss or damage of your Custom Picture Plates and accessories. We can not insure your personal photos.

Federal Copyright Laws require that you must own the copyright to the image you wish to have re-printed, copied or produced, if you do not own the copyright, you must have permission from the owner of the copyright to have reproduction work done. It is the policy of Halsey, inc to respect the Federal Copyright Laws and the rights of the copyright owners. Please make every effort to abide by the Federal Copyright Law.

halsey, inc ~ Custom Picture Plate

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Last modified: 10/21/08

©2003 Halsey, Inc Custom Picture Plate St. Route 706 West P.O. Box 399, Montrose, PA 18801-0399: Phone Number 570-278-3610
Email Customservice@HalseyInc.com