Printer Friendly Order Form
For the Town of Browning, Montana
Specialty Sample License Plates and License Plate Clocks
(In order to print this form select File in the upper right hand corner then select Print)

Method of Payment (please mark one)
Personal Check           |        | Business Check           |        | Money Order           |        |
Orders may take up 6 to 8 weeks for delivery.  Personal checks will take longer to process.

Ship To (please print)
*Name:  
*Address:  
*City:  
*State/Province:  
*Country:  
*Zip/Postal Code:  
*Phone:  
Fax:  
E-mail:  
*Required Fields

Products (please list each specific item number on a separate line)
Product Description and Item # Quantity    Price Subtotal
Example:   Clock Plate with Metal Frame – TOB003
 2
 $28.00
 $56.00
       
       
       
       
       
       
       
       
       
       
  Order Total                   
Shipping and Handling Charges: Up to $100.00 = $10.00 
For every additional $100.00 add $5.00 to Shipping Total		 Shipping Total                   
  TOTAL                   


Choices for Location of Clock Face on License Plate
When ordering clocks please specify description and item number from the above list again to designate where you want the clock face to be placed on each clock you order.
Product Description #1
Item #
 Select Location
 EX: Clock Plate w/ Metal Frame
TOB003
Align Right
                   |        |                    |        |                    |    X    |
Town of Browning Specialty License ClocksAlign Left Town of Browning Specialty License ClocksAlign Middle Town of Browning Specialty License ClocksAlign Right
Product Description #2
Item #
 Select Location
 EX: Clock Plate w/ Metal Frame
TOB003
Align Left
                   |    X    |                    |        |                    |        |
Town of Browning Specialty License ClocksAlign Left Town of Browning Specialty License ClocksAlign Middle Town of Browning Specialty License ClocksAlign Right
Product Description #3
Item #
 Select Location
     
                   |        |                    |        |                    |        |
Town of Browning Specialty License ClocksAlign Left Town of Browning Specialty License ClocksAlign Middle Town of Browning Specialty License ClocksAlign Right
Product Description #4
Item #
 Select Location
     
                   |        |                    |        |                    |        |
Town of Browning Specialty License ClocksAlign Left Town of Browning Specialty License ClocksAlign Middle Town of Browning Specialty License ClocksAlign Right
Product Description #5
Item #
 Select Location
     
                   |        |                    |        |                    |        |
Town of Browning Specialty License ClocksAlign Left Town of Browning Specialty License ClocksAlign Middle Town of Browning Specialty License ClocksAlign Right
Product Description #6
Item #
 Select Location
     
                   |        |                    |        |                    |        |
Town of Browning Specialty License ClocksAlign Left Town of Browning Specialty License ClocksAlign Middle Town of Browning Specialty License ClocksAlign Right


Choices for Alpha-Numeric Characters on License Plate
The Town of Browning will personalize your items with 6 alpha-numeric characters centered to the right of the Town of Browning logo on the license plate.  If you would like custom characters on any of the items you order, fill out this section as specified.
Product Description
Item #
 6 Alpha-Numeric Spaces
 EX: Clock Plate w/ Metal Frame  TOB003   |   T  |   O  |   B   |   -   |   0   |   1   |
 EX: Clock Plate w/ Metal Frame  TOB003   |   N  |   A  |   M   |  E   |   0   |   2   |
      |        |        |        |        |        |        |
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(If you do not have enough room, please create additional sheets following the same format)


Mail payment and order form to:
Town of Browning
PO Box 469
124 2nd Avenue N.W.
Browning, Montana 59417


If you have any questions please call, fax or send an email:
406-338-2344 (M-F 8-5), Fax 406-338-2605
info@browningmontana.com

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