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VALIDATION STAMP ORDER FORM Ordering Information FAX 202-303-3674 EMAIL stamporder pmi-parking. com TELEPHONE 202-785-9191 ext. 217 Parking Management Inc. 1725 DeSales Street NW Suite 300 Washington DC 20036 MONTH DAY YEAR Requests received after 12 00 p.m. noon will be processed on the next business day. Company Name Stamp Imprint Order Contact s Name Delivery Recipient s Name if different from person placing order Shipping Address Address1 Address2/Suite City State Telephone Zip Extension Fax PMI Location Number OR Facility Address Stamp Order Stamp Type of Stamps Shipping Handling Stamp Rate Total UPS Overnight 22. 217 Parking Management Inc* 1725 DeSales Street NW Suite 300 Washington DC 20036 MONTH DAY YEAR Requests received after 12 00 p*m* noon will be processed on the next business day. Company Name Stamp Imprint Order Contact s Name Delivery Recipient s Name if different from person placing order Shipping Address Address1 Address2/Suite City State Telephone Zip Extension Fax PMI Location Number OR Facility Address Stamp Order Stamp Type of Stamps Shipping Handling Stamp Rate Total UPS Overnight 22. 00 UPS 3-5 Days 7. 00 Will Call 1725 DeSales Street NW Suite 300 Washington DC pick up from 9 am 6 pm weekdays after receiving call that stamps are ready Subtotal Amount prepaid/remitted with order TOTAL AMOUNT DUE UPON RECEIPT OF ORDER Payment Method Check Credit Card check one Credit Card Visa MasterCard Electronic Funds Transfer EFT call for details Discover American Express Expiration Date / month/year For internal use only Credit Card Holder s Signature Name as appears on credit card PLEASE PRINT Approved by Date. Company Name Stamp Imprint Order Contact s Name Delivery Recipient s Name if different from person placing order Shipping Address Address1 Address2/Suite City State Telephone Zip Extension Fax PMI Location Number OR Facility Address Stamp Order Stamp Type of Stamps Shipping Handling Stamp Rate Total UPS Overnight 22. 00 UPS 3-5 Days 7. 00 Will Call 1725 DeSales Street NW Suite 300 Washington DC pick up from 9 am 6 pm weekdays after receiving call that stamps are ready Subtotal Amount prepaid/remitted with order TOTAL AMOUNT DUE UPON RECEIPT OF ORDER Payment Method Check Credit Card check one Credit Card Visa MasterCard Electronic Funds Transfer EFT call for details Discover American Express Expiration Date / month/year For internal use only Credit Card Holder s Signature Name as appears on credit card PLEASE PRINT Approved by Date.

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