Product Order Form: Fill out order form print and fax it to BJ Product Promotions & Marketing Co. for best results change printer setting to landscape. Telephone: 678-475-7639    Fax: 678-475-7085 *For pricing see Black History Flyer Bill To: Purchase Order Number: Name(School or Other): Address: City: State: Zip: Telephone Number: Fax Number: School District: E-mail: Ship To: Name: Address: City: State: Zip: Telephone Number: Fax Number: attn.: Instructions: Complete a separate Order Form for each Product. Provide the details of each Product as requested below. QTY Name of Product (i.e. Portraits, Prints, Easels, Drymounts, or Name Plates) Frame Color (Choose one color only) Black Red Gold Green Black Red Gold Green Black Red Gold Green Black Red Gold Green Black Red Gold Green Black Red Gold Green Black Red Gold Green Date(dd/mm/yy): / / Name: _____________________________________________________ Authorized Signature Thank You For Your Order!