***********DUPLICATE AWARDS**********************************************************************
Please fill out this form completely. Check or credit card information must accompany this order form. Duplicate awards and/or certificates may be ordered through PROMAX only.
ORDERING INSTRUCTIONS: Please check one of the following:
member/non-member quantity amount
Gold Award S$540/S$706 X ______= ______ Silver Award S$540/S$706 X ______= ______ Gold Award Certificate S$100/S$142 X ______= ______ Silver Award Certificate S$100/S$142 X ______= ______
Event Presented: Year Presented ______
China India Indonesia
______Awarded to (Organization Only)
______Title of Entry
______Category Title
______Personal Recognition
Duplicate copies of PROMAX Awards or Certificates can only be ordered by those individuals or organizations included in the credits of the winning entries. Please indicate personal credit on the "Personal Recognition" line provided above.
SHIPPING INSTRUCTIONS:*
______Name Member #
______Title/Position
______Company (radio and tv stations, please give FCC call letters)
______Address (No P.O. boxes. Street address only, please)
______City State/Province
______Zip/Postal Code Country
______Telephone Fax
______E-mail
ALL PRICES IN SINGAPORE DOLLARS. INVOICE AVAILABLE UPON REQUEST.
Check #______ MC Visa Amex
______Card Number CVV Number Exp. Date
______Signature
SGD check should be crossed and made payable to PROMAX ASIA PTE LTD.
* Please allow 4-6 weeks for delivery.
AWARD SHIPPING & HANDLING COST (per Award - no charge for certificates) Gold/Silver Shipping Domestic (Singapore) add S$38.00 per piece Gold/Silver Shipping Asia Pacific add S$121.00 per piece Gold/Silver Shipping Europe add S$146.00 per piece Gold/Silver Shipping Middle East/South Africa add S$316.00 per piece
No shipping charge for certificate. Invoice available upon request.
SUBTOTAL $______SHIPPING & HANDLING $______TOTAL AMOUNT ENCLOSED $______
CUSTOMS CHARGES, IF ANY, ARE PAID BY THE RECIPIENT
DUE TO CUSTOM LETTERING ON AWARDS, PAYMENT MUST ACCOMPANY THIS ORDER.
PLEASE NOTE THAT A 7% GST WILL BE ADDED TO ALL ABOVE MENTIONED PRICING. THIS IS APPLICABLE FOR SINGAPORE INDIVIDUAL, COMPANIES AND DELIVERY WITHIN SINGAPORE Mail or fax to: PROMAX ASIA PTE LTD 3C Tank Road Singapore 238060 Tel: 65-6736-1435 Fax: 65-6735-4048