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Bookmarks Order Form
 

Please use this form to order bookmarks. After submitting this form one of our customer service representatives will call you to collect payment for your order.

All bookmarks cards are customized with your practice information. Back Talk Systems uses this form to collect all information needed to customize your Bookmark cards.

If you do not wish to include information from one of the requested fields, please leave it blank.

 
Section 1: Proofing Information
 
 
Contact Name:
 
 
Fax Number:
 
 
Email:
 
 
Section 2: Customization Information
 
 
Clinic Name:
 
 
Doctor Name:
 
 
Address 1:
 
 
Address 2:
 
 
City:
 
 
State:
 
 
Zip Code:
 
 
Phone Number:
 
 
Website:
 
 
Section 3: Fonts
 
Section 4: Bookmarks and Quantity
 
Eagle Bookmark:
 

Bookmark prices are based
on the total number of
bookmarks you purchase.

100 @ .29 each = $29.00
200 @ .22 each = $44.00
300 @ .18 each = $54.00
400 @ .17 each = $68.00
500 @ .16 each = $80.00

1000+ @ .14 each = $140.00+

Edison Bookmark:
 
Benefits Bookmark:
 
Frog Bookmark:
 
Giraffe Bookmark:
 
Hummingbird Bookmark:
 
Monkey Bookmark:
 
Chiropractic Bookmark:
 
Polar BearBookmark:
 
Rock Climber Bookmark:
 
 
Section 5: Bookmark Back Side
 
Please select your bookmark backside:
 
If you select the customized backside we will call you during order processing to colect all nessecary
information to fully customize the backside of your bookmarks.
 
Section 6: Notes
 
Please include any notes that would help us finish your order to your satisfaction:
 
 
 
 

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