Your Name:

Address:

City, State, Zip Code:

Country/Province:

Phone Number (Area code first please)

E-mail Address:

if you feel more comfortable ordering by phone,
you may call in your card details to us at:   702-221-9115

Mastercard Number: 

or VISA card Number:

Card Expiration Date: 

Name under which credit card is registered:

NOW TO YOUR PICK INFORMATION...
Type and quantity of Picks you are Ordering?:

Please Note!!
You will need to send to us your Artwork or Graphics
Via email or regular priority mail for both pick types
below...See bottom of page for our Email and Mail
Address...

If you are sending an email attachment of a jpeg file
send to:  gthomas@coam.net

If sending via regular, priority mail see bottom of
page for address.

Number of Pickture Picks®TM you are ordering?:
Minimum Order is 50 Picks.

Number of Standard Die Stamped Imprinted Picks you are Ordering?:
Minimum order is 144 picks. (12 Dozen)

If Ordering Standard Die Stamped Imprinted Picks Enter Pick Color?:

Also, for Standard Die Stamped Imprinted Picks Enter Imprint Color?:
White-Black-Yellow-Red-Silver-Gold. (Silver and Gold are $15.00 additional)

What "Gauge" of Pick do you want???
Light-Medium-Heavy-Extra Heavy???

Do you want One Side Imprinted or Two Sides Imprinted??

If you wish Two Sides Imprinted??
List what you want on each side: Example: For Pickture Picks: Side 1: picture. Side 2: name.
For Die Stamped Picks..Example: Name Side One, and Logo Side two.

Side One

Side Two

Please enter additional information we might need
in Comment Box if Necessary. Comments and Feedback
Always Welcome: Also good for special directions to us.

Again..Please call us if you have a question...Once Picks are printed
it's forever..! Also Note..if we have a question we will call you!

We Do Not release or Sell "ANY" Information to anyone
concerning our Valued Patrons. Thank You.