Novelty ID Mail Order Form

By submitting this form you have read and agree to the Terms Of Service located at: http://fakeidmaster.com/novelty_id_terms_of_service.html ------------------------------------------------------------------------ Print out, fill, and mail this form to the following address: #1179 Station A Nanaimo BC V9R 6E7 Canada ---------------------------------------------------------------- SHIPPING TYPE Shipping is included in the listed price of every ID. Choose from either 'Fedex', 'Purolator Courier' or 'Xpresspost' Choice of Shipping: _____________________ ---------------------------------------------------------------- YOUR SHIPPING ADDRESS Shipping Address: _____________________ _____________________ _____________________ _____________________ Your email (optional): ________________________ ---------------------------------------------------------------- NOVELTY ID CARD DETAILS (Details not provided by customer will be created for you) Be sure to include a decent portrait photo. (CD/DVD/Diskettes O.K.) State: ________________ License ID #: ________________ Class: ______ Restrictions: _____________________ Date of Birth: ___________ Date of Issue: ___________ Date of Expiry: ___________ Name on Card: _____________________ Address: _____________________ _____________________ _____________________ _____________________ Hair: ________ Eyes: ________ Height: ______ Weight: ______ Sex: __ Signature on card: ______________________________ ----------------------------------------------------------------