Kelly Signs Inc

Company:	*
Address:	*
City:	*
Prov./St.:	* (abbreviation)
PC/Zip:	* (no spaces)
Tel:	* (area code needed)
Buyer:	*
Fax:	(area code needed)
E-mail:	*
PLEASE NOTE - Make sure you proof all information you have entered prior to submitting this form. Failure to input correct information may result in delays in production time.
Ship to: (if different from above)
Name:
Address:
City:
Prov./St.	(abbreviation)
PC/Zip	(no spaces)

Product Code	Description	Quantity	Unit Price
			$
			$
			$
			$
			$
			$
			$

Hanging Style Signs
The following options are for those who require hanging style signs.
Please choose all that apply.

Which substraight do you require?

6mil Coroplast | 10mil Coroplast

Commercial Site Signs
The following options are for those who require commercial site signs.
Please choose all that apply.

Which substraight do you require?

4mil Coroplast | 1/2" Plywood

Information required on signs:
Name:
Name Case:	Upper and Lower Case ALL UPPER CASE
Phone #1*	Include Area Code	Optional	Office	Res.	Direct Line
			Other
Phone # 2*	Include Area Code	Optional	Office	Res.	Direct Line
			Other
Web URL:	(Optional, no extra charge)
Email:
Check one:	Sales Representative Broker Broker of Record

Payment Option †

* Select billing option.

† Due to security reasons, we do not accept credit card numbers online. A credit card number will be requested when we contact you to confirm this order. Cash can be delivered in person to 2870 Sheffield Rd., Ottawa ON. Do not send cash though the mail. Cheques should be made payable to Kelly Signs Inc. and mailed to: Kelly Signs Inc., 2870 Sheffield Rd., Ottawa ON, K1B 3V9.

In the event this order form does not submit,
please print this page and fax to Kelly Signs Inc. at
(613) 749-4633 or 1-800-357-0696