P.O. Box 1897 * Kennesaw, GA 30156
(Delivery) 5919 Lake Acworth Drive * Acworth, GA 30101
E-mail: NLS@NLSSpecialties.com * www.NLSSpecialties.com
(770) 422-7867 * Voice Mail (770) 529-6242 * Fax (770) 421-9473 *Fax (770) 529-3055
Use black ink if faxing.
Has church ordered previously? yes ____ no____ Order Date _______________ Date Needed _______________
Person Ordering ______________________________________________ Position _______________________
Church Phone __________________________________ext._______ Church Fax ________________________
Day Phone _______________________________________ext.________ Is that # Work _____ or Home_____?
E-mail address ________________________________________________
We need Church information before processing any order. We prefer shipping to the Church.
Church Name _______________________________________________________________________________
Church Delivery Address
Street Address __________________________________________________________________________
City _____________________________________ State _____________________ Zip ________
Church Billing Address
Street Address __________________________________________________________________________
City _____________________________________ State _____________________ Zip ________
Ship to if different than Church: Home _____ or Work _____
Street Address __________________________________________________________________________
City _____________________________________ State _____________________ Zip ________
Method of Payment (Check one):
___Church Purchase Order # _________ ___Sent Check # ___________ ___Bill to Church
___Charge Credit Card ___ Personal or ___ Church
___ Visa or ___ Mastercard
Card# _________________________________________ Exp Date _________________
If Personal Credit Card used, give name of Person on Credit Card _____________________________________
DAYTIME phone # of person on Credit Card ____________________________________________________
Billing information for Credit Card holder Authorization Street # Only _________________ Zip ___________
Tax Exempt # _____________________________
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Animal / Color |
Quantity |
Animal / Color |
Quantity |
Animal / Color |
Quantity |
Animal / Color |
Quantity |
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The Regular Sets are sold as one clip and one ring. You can mix the sets anyway you need. Please indicate if changing from the Regular Set. Ring Side only $0.75/ Clip Side only $1.00. Please realize that if you order Clip Side only or Ring Side only you are ordering half of a set. Double your quantity if you would like a Ring Side Set or a Clip Side Set. * Custom orders with your logo, minimum 250 sets, allow 8 weeks for delivery. Parents Add-On-Coil Bracelets @ $0.60. (Choose from white, clear, black, red, blue, lime green, yellow (greenish) or assorted). In addition, we also have clear vinyl pouches that attach to the clip side which can hold a name tag for an additional $0.40. |
Sea Horse / blue with yellow |
Regular Set | . | ||||||||
| Ring Side Only | . | ||||||||||
| Clip Side Only | . | ||||||||||
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Alligator/ white with green |
Regular Set |
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Elephant/ white with brown |
Regular Set |
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Octopus/ blue with white |
Regular Set |
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Snail/ green with yellow | Regular Set | . |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only | . | ||||
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Clip Side Only |
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Clip Side Only |
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Clip Side Only |
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Clip Side Only | . | ||||
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BlueBird/ yellow with blue |
Regular Set |
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Fish/ white with neon green |
Regular Set |
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Opossum/ yellow with purple |
Regular Set |
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Squirrel/ white with brown | Regular Set | . |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only | . | ||||
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Clip Side Only |
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Clip Side Only |
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Clip Side Only |
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Clip Side Only | . | ||||
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Butterfly/ yellow with purple |
Regular Set |
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Frog/ green with yellow |
Regular Set |
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Ostrich/ white with orange |
Regular Set |
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TeddyBear/ white with teal | Regular Set | . |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only | . | ||||
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Clip Side Only |
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Clip Side Only |
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Clip Side Only |
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Clip Side Only | . | ||||
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Camel/ yellow with brown |
Regular Set |
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Giraffe/ yellow with red |
Regular Set |
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Owl/ yellow with brown |
Regular Set |
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Tiger/ yellow with black | Regular Set | . |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only | . | ||||
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Clip Side Only |
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Clip Side Only |
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Clip Side Only |
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Clip Side Only | . | ||||
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Cat/ white with orange |
Regular Set |
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Hippo/ grey with dark green |
Regular Set |
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Pig/ white with red |
Regular Set |
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Turtle/ green with white | Regular Set | . |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only | . | ||||
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Clip Side Only |
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Clip Side Only |
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Clip Side Only |
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Clip Side Only | . | ||||
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Cow/ white with black |
Regular Set |
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Kangaroo/ red with white |
Regular Set |
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Pony/ white with blue |
Regular Set |
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Whale/ blue with white | Regular Set | . |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only | . | ||||
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Clip Side Only |
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Clip Side Only |
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Clip Side Only |
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Clip Side Only | . | ||||
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Deer / red with yellow |
Regular Set |
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Koala/ white with olive green |
Regular Set |
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Rabbit/ white with dark pink |
Regular Set |
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Zebra/ white with black | Regular Set | . |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only | . | ||||
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Clip Side Only |
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Clip Side Only |
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Clip Side Only |
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Clip Side Only | . | ||||
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Dog/ white with purple |
Regular Set |
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Lamb/ white with black |
Regular Set |
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Raccoon/ white with blue |
Regular Set |
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Noah'sArk/ white with red | Regular Set | . |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only | . | ||||
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Clip Side Only |
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Clip Side Only |
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Clip Side Only |
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Clip Side Only | . | ||||
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Duck/ white with orange |
Regular Set |
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Lion/ yellow with brown |
Regular Set |
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Ram/ white with green |
Regular Set |
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Noah'sArk/ white with teal | Regular Set | . |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only | . | ||||
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Clip Side Only |
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Clip Side Only |
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Clip Side Only |
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Clip Side Only | . | ||||
| Eagle/ yellow with brown |
Regular Set |
. | Monkey/ white with brown |
Regular Set |
. | Rooster/ white with red |
Regular Set |
. | Boy& Girl/ white with teal | Regular Set | . |
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Ring Side Only |
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Ring Side Only |
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Ring Side Only |
. | Ring Side Only | . | ||||
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Clip Side Only |
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Clip Side Only |
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Clip Side Only |
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Item |
Total Quantity |
Price |
Amount. |
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| Full Set of One Clip and One Ring | 1- 249 sets @1.75 each | . | . | . | |||||||
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250 -599 sets @ 1.70 each |
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| Only Clip Side |
$1.00 per clip |
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Only Ring Side |
$0.75 per ring |
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| Clear Vinyl Pouches Circle: size and if ordering small choose Horizontal or Vertical | $0.40 per pouch - several sizes a)4x2-3/4 - horizontal holds- 2 x 3-5/8 Vertical holds- 2-3/8 x 3-1/4 b)4 x 2-3/4- horizontal only-holds-4x3 c)4-3/4x4-1/2- horizontal only- holds- 4-1/3x 3-3/8 | . | . | . | |||||||
| Cord Lanyard |
1-143 @ $.75 per lanyard / 144 -287 @ $0..65 / 288 & up @ $0.50 Circle Color white, black, purple, yellow, green, red, maroon or blue |
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| Bulldog Clip | $0.25 per bulldog clip with 3"strap | . | . | . | |||||||
| $0.35 per bulldog clip with 5" strap | . | . | . | ||||||||
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Parents Add-On-Coil Bracelets
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$0.60 per bracelet Circle Color white, clear, black, red, blue, green, yellow, pink, purple, teal or assorted |
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Total $ Kiddie Keeper Purchase: |
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If you are ordering two or more stock items EX: Kiddie Keepers and Stock Diaper Bag Tags then add one .shipping charge to the total order. Stock shipments are totaled and shipped together from our office.
Order Form For Additional items
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Item & Description |
Imprint |
Item Color |
Quantity |
$ Each |
$ Total |
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Sales Tax * (GA Customers) on products only County ____________Tax% ____________ |
GA Sales Tax |
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Stock SHIPPING SCHEDULE: General Shipping for items shipped from our in-stock products.
$0-10 =$5.00 $11-25 =$5.50 $26-50 =$6.00 $51-100 =$6.50 $101-150 =$7.00 $151-200 =$7.50
Add $1 for every $50 over $200 (Some items may be more / EX. mugs, squeeze bottles, etc.) |
SHIPPING |
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TOTAL |
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Add $2 for Residential Delivery (includes offices in homes).
Add approximately $10 for UPS 3 day select / $15 for UPS blue 2 day service / $20 for UPS red standard overnight (if heavy more will be added).
We consider it a blessing to be a part of your ministry!!!
Jamie Cardell, Pam Reeves, Christy Carlisle, Deanna Burkhardt and Joy Carlisle