Novelty ID Mail Order Form

By submitting this form you have read and agree to the Terms Of Service located at: http://fakeidpro.com/novelty_id_terms_of_service.html ------------------------------------------------------------------------ Print, fill and send this order form with photo and payment to: #1179 Station A Nanaimo BC V9R 6E7 Canada ------------------------------------------------------------------------

------------------------------------------------------------------------ SHIPPING TYPE Shipping is included in the listed price of every ID. Choose from either 'CP Air (USA)', 'Fedex' or 'Xpresspost' Choice of Shipping: _____________________ ------------------------------------------------------------------------ YOUR SHIPPING ADDRESS Ship To: _________________________ _________________________ _________________________ _________________________ Your email (optional): ___________________________ ------------------------------------------------------------------------ NOVELTY ID CARD DETAILS (Details not provided by customer will be created for them) Be sure to include a decent portrait photo. (CD/DVD/flash O.K.) State: _____________________ Organ Donor: ________________ 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: ____________________________________ ------------------------------------------------------------------------