Self Inking Dater/Stamper Order Form
Stamp Pad built in stamper
Unlimited number of Prints
Nickel plated
Order Placement Options
Stamp ID: Heavy Duty Dater
Purch Order#:
Ship & Bill to:
Company Name:
Attention:
Address:
P.O. Box:
City:
State:
Zip:
Email:
Phone:
Fax:
Would you like a Sales Rep. to contact you? Yes
No		 Would you like a Catalog? Yes
No
  • We'll ship open account to all qualified accounts.
  • Tax and shipping delivery charges will be added to the invoice.

DATER

STAMPER

DATER ONLY
Six Years of Dates Up to Six lines of copy Dates Only
Two lines of copy above and/or below dates No Dates No Copy
Dates in Red, Copy in Blue Black Ink Black Ink
1 1/4 x 1 3/4 Maximum Size 1 1/8 x 2 1/4 Maximum Size 1/8 x 1 1/8 Date area

Quantity

$65 each $50 each $35 each

Please remember to NOT hit the ENTER KEY to move to the next line.
Use the TAB key to move from line 1 to line 2....

Line

Enter Line Information

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Special Instructions
To order with your credit card,
please enter a phone number for us to contact you.



Please use your browsers Print before hitting the "Submit Order" button if you require documentation.