SCAN Prizes Order Form

714.773.1105

WEST COAST PROMO RESOURCE

"Serving Local Businesses Since 1979."

INSTRUCTIONS:

WHEN ORDERING - Boxes with a RED star must be filled in, along with the other areas of this form.

TO ORDER - COMPLETE THE FORM AND PRESS THE RED "SUBMIT" BUTTON ONCE (NOT TWICE OR MORE). WE WILL SEND YOU AN EMAIL WITHIN 24-48 HOURS CONFIRMING RECEIPT OF YOUR ORDER.

Phone Number: *

SHIP TO HOME - Address: *

SPECIAL NOTE, PLEASE READ - Because of COVID-19, we will be shipping your AWARDS/PRIZES directly to your home. So when you order, on the form below, please provide COMPLETE "ship to" information. Thank you, stay safe and remember to wear a mask!

Email: *

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If you have any questions, please call 714-773-1105 or email us at wcpromoresource@gmail.com

SCAN Gifts Form

(Special)

SCAN is very proud to be able to offer you these gifts for your outstanding accomplishment. We hope you enjoy your personalized gift.

All items come with the SCAN logo. Additional personalization is optional.

Personalization: *

Department: *

Description: *

SHIP TO - Zip *

Item Number: *

BACK TO THE GIFT CATALOG

Color: *

SHIP TO - Name: *

Name: *

SHIP TO - City *

Special Note:

Size: *

Servicing More Than 300 Clients A Year.