Mail/Fax Order Form INSTRUCTIONS
1. Print this page.
2. Fill out entire form.
3. Mail/Fax completed form & payment to:
Stecyn Enterprises, Inc.
1207 W. Weston Dr
Arlington Heights, Illinois 60004
F: 847-788-9707
***Orders for photo plates and/or ornaments
must be placed securely online or by mail.
Item Description:_________________ Quantity:_______

Top Line Text(30 Characters Max):

       __________________________________
Bottom Line Text-if applicable(30 Characters Max):

       __________________________________

Gift Announcement (optional):

   _____________________________________________________________________________

   _____________________________________________________________________________		 $5.00 each
personalized gifts display stand

quantity_______		 $2.50 each
personalized gifts display hanger

quantity_______
This section needs to be filled out only if you are purchasing one of the following:
Christmas Tree
Plate/Ornament

Name 1 _______________
Name 2 _______________
Name 3 _______________
Name 4 _______________
Name 5 _______________
Name 6 _______________
Name 7 _______________
Name 8 _______________
Name 9 _______________
Name 10_______________		 Hanukkah Plate

Name 1 _______________
Name 2 _______________
Name 3 _______________
Name 4 _______________
Name 5 _______________
Name 6 _______________
Name 7 _______________
Name 8 _______________
Name 9 _______________ 		Snowmen, Halloween, Easter or
Thanksgiving Plate

Type________Name___________

Type________Name___________

Type________Name___________

Type________Name___________

Type________Name___________
 Traditional Boy or
Traditional Girl Plate

Birth Date (mm/dd/yyyy)

______________

Day of Week

______________

Birth Time

_______:_______
Buyer Information:

Name: (Last, First)________________________________________________________       Phone:________________________________

Street Address:__________________________________________________________________________________________________

City:__________________________    State:_____    Zip:___________    Email:______________________________________________
Delivery Information:

Name: (Last, First)________________________________________________________       

Street Address:__________________________________________________________________________________________________

City:__________________________    State:_____    Zip:___________    
Payment Information

Subtotal:________________________________________

S/H:     ________________________________________

Tax:       ________________________________________

Total:     ________________________________________ 		$34.95 per plate(Stecyn designs only)
$39.95 per photo plate
$24.95 per picture frame
$19.95 per photo ornament
$14.95 per ornament (Stecyn designs only)
$8.95 S/H per item
8.25% sales tax for items delivered in Illinois

Payment type: (Circle One)     Check        MC        Visa

Card#:________________________________________________     Exp:__________________

Signature:____________________________________________________________________________________________________
Colors may vary by monitor. Photo quality and colors may vary slightly after being transfered to plate/ornament. Digital images should be at least 2 megapixels for best results. Photos should be at minimum 4x6, for best results 5x7 or 8x10. Photos will be edited to fit plate/ornament. Original photos will not be returned.