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For Store Use Only Whitehall Use Only Price Tax Total Price 5 Confirmation # Purchase Order No. Page of Consumer Name Consumer Phone Consumer Drop-Ship Information (Do not use P.O. Box) Name Street Apt # City State Zip Special Instructions: ©2015 Whitehall Products 04/15 AW - 914 Order Date 4 Customer Code Store Number Store Name Street City State Zip Phone ( ) Fax ( ) For Store Use Only 6 4 Day Turnaround from Receipt of Order – No Cancellations Store Representative Quantity: 1 Select Color: 3 Black/Gold Bronze/Gold Green/Gold Black/Silver q q q q Available Characters: 2 Select Style & Fill in Numbers: Vertical FEV1 Arch FEA1 Rectangle FER1 Oval FEO1 q q q q Address numbers will be aligned and centered during manufacturing Shipping Phone: 1-800-728-2164 Fax: 231-894-6318 Email orders must be sent to: [email protected] 15-WP-0137

q q q FEO1 - Lowe'spdf.lowes.com/howtoguides/719455312629_how.pdfBlack/Silver q q q q Available Characters: 2 Select Style & Fill in Numbers: Vertical FEV1 Arch FEA1 Rectangle FER1

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Page 1: q q q FEO1 - Lowe'spdf.lowes.com/howtoguides/719455312629_how.pdfBlack/Silver q q q q Available Characters: 2 Select Style & Fill in Numbers: Vertical FEV1 Arch FEA1 Rectangle FER1

For Store Use Only

Whitehall Use Only

PriceTax

Total Price

5

Confirmation #

Purchase Order No.

Page of

Consumer Name Consumer Phone

Consumer Drop-Ship Information (Do not use P.O. Box)

Name

Street Apt #

City

State Zip

Special Instructions:

©2015 Whitehall Products 04/15 AW - 914

Order Date

4

Customer Code Store Number

Store Name

Street

City State Zip

Phone ( ) Fax ( )

For Store Use Only

6

4 Day Turnaround from Receipt of Order – No Cancellations

Store Representative

Quantity:1

Select Color:3

Black/Gold

Bronze/Gold

Green/Gold

Black/Silver

q

q

q

q

Available Characters:

2 Select Style & Fill in Numbers:

Vertical FEV1

Arch FEA1

Rectangle FER1

Oval FEO1

q q

q

q

Address numbers will be alignedand centered during manufacturing

Shipping

Phone: 1-800-728-2164Fax: 231-894-6318

Email orders must be sent to: [email protected]