Flag Order Information

Address
 Name of Purchaser: ________________________________________________

 Daytime Telephone: ________________________________________________

 Address: __________________________________________________________

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 Shipping Address (If different)
 Name:  ____________________________________________________________

 Address: __________________________________________________________

          __________________________________________________________

          __________________________________________________________

  Qty. Item # Description (Include Option Info)  Unit Price    Total
  ___ _______ __________________________________ __________ ________

  ___ _______ __________________________________ __________ ________

  ___ _______ __________________________________ __________ ________

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  ___ _______ __________________________________ __________ ________

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 Payment Method (US Funds Only Please)
 [__] Personal or Company Checks made out to "R.A.M Sales"
 [__] Money Order,
      [__] VISA        [__] MasterCard         [__] Discover/Novus
      [__] Star        [__] American Express

    Credit Card Number: ____________________________________________

    Credit Card Code: _________  (what is this?)

    Expiration Date:  _______________

    Name of Issuing Bank: __________________________________________

    Signature:  ____________________________________________________

Payment Calculations
Sub Total    : $_________  Enter total for all items ordered here.
Shipping &                 Shipping charges are based on this schedule
Handling     : $_________

Sales Tax    : $_________  (Colorado State residents ONLY add 3%)
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 TOTAL COST  : $_________