Product Order Form - Dealer Use Only

To Use Online Ordering, you are required to enter your Periwinkle Press account number.   Contact us for more information.  For Invitations and Announcements, you must fax the order form.  Click here to access.

Caution: Use the the Tab key to navigate through the form and do not press the Enter key until you are ready to submit your order!

Enter your name and account number:

Store Name
Account Number

Type names EXACTLY as it will appear on product, including capitalization and spelling

STYLE # Qty # Ink Color   (Color ink not available on notepads) FONT NAME Multi-Name Magnet  TOP LINE PERSONALIZATION    (for multi name set, separate each name with a comma) BOTTOM LINE PERSONALIZATION (for multi name set, separate each name with a comma)

Special Instructions Only or PO#. (Please DO NOT use this area for additional orders.)

All orders will be shipped to Dealer unless Drop Ship requested below:

Ship via

DROP SHIP - Additional cost
Name
Street Address
Address (cont.)
City