Please select ONE: (layouts shown on reverse side) NEW OrdEr — Side-One Layout Code Fill out information below Exact rEpriNt Attach a sample card rEpriNt With chaNgEs on attached card or below

Name

Title

Title contact Numbers (numbers will appear in order and exactly as written)Circle the appropriate letter: O=Office, F=Fax, P=Pager, C=Cell,R=Residence, or write in other (example: Toll Free, Direct, etc.) NOTE - Check the layout you selected for available # of contact numbers.

O F P C R Other

O F P C R Other

O F P C R Other

O F P C R Other

O F P C R Other Please provide your E-mail address if you have one:

E-mail

Company Name

Address

City State ZIP

Step 3 — PHOTO INFORMATION

LS OC _______ PMR ________ Product Code __________ Account # ________________ Date Received _____________KellerWilliams_BCQN11/06

Keller Williams realtyBusiness card & quick Notetm

OrdEr FOrm

the personal marketing co.P.O. Box 656

Shawnee Mission, KS 66201questions? 800-832-1522

FAX 800-234-9423 www.tpmco.com

Step 1 — IMPRINT INFORMATION (Please type or print clearly.)

Step 6 — METHOD OF PAYMENTPlease check one: My debit, credit card or bank draft is already on file. My check is enclosed. Check #: Bank Draft (send voided check with order) Debit or Credit Card If Debit or Credit Card, please check one: Visa MasterCard Discover American Express

Card Holder Name PRINT NAME

Card #

ZIP of Billing Address Expiration Date

I authorize The Personal Marketing Company to produce my order and charge it to my account. Prices are subject to change without notice. There will be a $15 charge for all returned checks and credit cards.

Authorized Signature Date

Step 5 — SUMMARY OF CHARGES

TPMC OFFICE USE ONLY

Include on cards Do not include on cards

Step 2 — SIDE TwO PRINTINGSee reverse side for actual image.(not available on Peel & Stick or Quick NoteTM)

o Calendar – Year o Referral Message o Compound Interest Table o Holiday Schedule o Loan Information oTip Chart o Mortgage Payment Calculator oWI4C2TS

o Single agento Dual agent

Step 4 — SYMbOLS

Enclosed Yes No On file: Acct. Please submit any size photo between 2” x 2” and 5” x 7”. Please do not staple or paper clip photos. Your photo will be returned.E-mailed to agentphoto@tpmco.com In the subject line indicate your name In the message area provide your contact information • scanned image: 2” x 2” to 5” x 7” @ 300 dpi in a .tif format • digital camera image: High Megapixel .jpg image taken directly from camera. DO NOT ALTER. Min. image size of 2 Megapixel (1600 x 1200).

Signature I have obtained any required release for the use of this photo.

(all symbols will print in black & white)

Business cards

One-sided (GCP) 500.......... $39.95 =

1000........ $54.95 =

Two-sided (BCP) 500.......... $54.95 =

1000........ $69.95 =

peel & stick cards (PAS) 500.......... $39.95 =

1000........ $54.95 =

quick Note cards (GQN) 125............... $25 =

Optional proof (PRF) ................................................. $10 =

Subtotal =

Tax (KS and MO residents only) =

prices include shipping. tOtaL =

Your business cards printed on adhesive paper.available for Layouts 1, 2, 7, 8 & 9

A 4x6 enlargement of your business card with tray and pen.available for Layouts 1, 2, 7, 8 & 9

Other (Include clean black & white)

Tem:Keller

Keller Williams Realty

Street AddressCity, ST ZIP

Contact 1 000-000-0000Contact 2 000-000-0000Contact 3 000-000-0000Contact 4 000-000-0000

NameTitle / Title

Your Keller WilliamsLogo Here

Your Keller WilliamsLogo Here

Each Office is Independently Owned and Operated

COMPANY NAMEAddress, City, ST ZIP

Cont 1 000-000-0000Cont 2 000-000-0000 Cont 3 000-000-0000

Cont 4 agentname@kw.comCont 5 www.kw.com

Title / Title

Agent Name

Each Office is Independently Owned and Operated

Agent NameTitleTitle

COMPANY NAMEAddress

City, ST ZIPContact 1 000-000-0000Contact 2 000-000-0000Contact 3 000-000-0000Contact 4 000-000-0000

Each Office is Independently Owned and Operated

Each Office is Independently Owned and Operated

NameTitleTitle

Street AddressCity, ST Zip

Contact 1 000-000-0000Contact 2 000-000-0000Contact 3 000-000-0000Contact 4 000-000-0000

Your Keller Williams

Logo Here

Your Keller Williams

Logo Here

NameTitleTitle

Contact 1 000-000-0000Contact 2 000-000-0000Contact 3 000-000-0000Contact 4 000-000-0000

Each Office is Independently Owned and Operated

Street AddressCity, ST Zip

Your Keller WilliamsLogo Here

Your Keller WilliamsLogo Here

NameTitleTitle

Contact 1 000-000-0000Contact 2 000-000-0000Contact 3 000-000-0000Contact 4 000-000-0000

Street AddressCity, ST Zip

Your Keller Williams

Logo Here

Your Keller Williams

Logo Here

Each Office is Independently Owned and Operated

Contact 1 000-000-0000

Street Address • City, ST ZIP

First NameLast NameTitle / TitleContact 2 000-000-0000Contact 4 000-000-0000

First NameLast Name

Title / TitleContact 3 000-000-0000Contact 5 000-000-0000

Your Keller WilliamsLogo Here

Your Keller WilliamsLogo Here

Each Office is Independently Owned and Operated

Limit - 4 contact numbers Limit - 4 contact numbersLogo prints exactly as shown

Limit - 4 contact numbers

Limit - 4 contact numbersLimit - 4 contact numbersLogo prints exactly as shown

Phone: 800-832-1522www.tpmco.com

NameTitleTitle

Contact 1 000-000-0000Contact 2 000-000-0000Contact 3 000-000-0000Contact 4 000-000-0000

Street AddressCity, ST Zip

Each Office is Independently Owned and Operated

Your Keller Williams

Logo Here

Your Keller Williams

Logo Here

NAMETitle / Title

Contact 1 000-000-0000 Contact 2 000-000-0000Contact 3 000-000-0000 Contact 4 000-000-0000

Street Address, City, ST Zip

Your Keller WilliamsLogo Here

Your Keller WilliamsLogo Here

Each Office is Independently Owned and Operated

#1 #2 #3

#4 #5

Agent NameTitleTitle

COMPANY NAMEAddress

City, ST ZIPContact 1 000-000-0000Contact 2 000-000-0000Contact 3 000-000-0000Contact 4 000-000-0000

Each Office is Independently Owned and Operated

Loanapplication

referralmessage

Limit - 4 contact numbers#6

Limit - 4 contact numbers

Limit - 5 contact numbersdual agent Layout

#7

#8

Limit - 4 contact numbers#9

Limit - 4 contact numbersLogo prints exactly as shown

#10

Symbols are shown for position only. Please select in step 4.

mortgage payment calculatorcalendar

compound interest

holidays

tip chart Wi4c2ts