PEACE POLE MAKERS U.S.A. ORDER FORM

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1 PEACE POLE MAKERS U.S.A. ORDER FORM 7221 S Wheeler Rd. Maple City, MI info@peacepoles.com Phone: (231) Fax: (231) FOOT PEACE POLES PRICE 4 Sided Cedar Peace Pole Includes 4 Plexiglas Plaques/Standard Languages $215 4 Additional Plaques/Standard Languages $315 4 Sided Cedar Peace Pole Rainbow Plaques Includes 4 Rainbow Plaques/Standard Languages $230 4 Additional Rainbow Plaques/Standard Languages $340 4 Sided Cedar Peace Pole Engraved Includes 4 Standard Languages $430 4 Additional Standard Languages $550 6 Sided Cedar Peace Pole Includes 6 Plexiglas Plaques/Standard Languages $700 6 Additional Plaques/Standard Languages $850 6 Sided Cedar Peace Pole Rainbow Plaques Includes 6 Plexiglas Rainbow Plaques/Standard Languages $715 6 Additional Rainbow Plaques/Standard Languages $865 6 Sided Cedar Peace Pole Engraved Includes 6 Standard Languages $975 6 Additional Standard Languages $1,145 8 Sided Cedar Peace Pole Includes 8 Plexiglas Plaques/Standard Languages $1,600 8 Additional Standard Languages $1,800 8 Sided Cedar Peace Pole Rainbow Plaques Includes 8 Plexiglas Rainbow Plaques/Standard Languages $1,620 8 Additional Rainbow Plaques/Standard Languages $1,820 8 Sided Cedar Peace Pole Engraved Includes 8 Standard Languages $2,500 8 Additional Standard Languages $3,000 4 Sided Etched Aluminum Peace Pole Includes 4 Standard Languages $450 4 Additional Standard Languages $570 *Your Choice of Silver or White High Gloss Powder Coated Finishes Stain Choices for Plaque Cedar Peace Poles: Original, White, Up-North Stain Choice for Engraved Cedar Peace Poles: Original or Up-North *white not available for engraved cedar peace poles

2 ADDITIONAL PEACE POLE OPTIONS PRICE 4 Four Sided Engraved Cedar Garden Peace Pole Includes 4 Standard Languages $175 $12 each *Stand for Indoor Display $ Sided Engraved Cedar Desktop Peace Pole 20 Includes 4 Standard Languages $50 $4.75 each *Stand Included 8 Sided Engraved Cedar Desktop Peace Pole 21 Includes 8 Standard Languages $80 $5.00 each Mini Cedar Peace Poles 7 (wood burned) *Only available with English, Spanish, Japanese & Russian $45 pkg of 10 $4.50 each PEACE POLE ACCESSORIES FOR 8 PEACE POLES Stands for Indoor Display Only 4 Sided Cedar Peace Pole $65 6 Sided Cedar Peace Pole $70 4 Sided Aluminum Peace Pole $75 Individual Plexiglas Plaques (3 x32 ) Standard Languages (black on white) Special Languages (black on white) Rainbow Plaques/Standard Languages Rainbow Plaques/Special Languages $26.50 each $30 each $32 each $35 each Braille Plates: brass 2 ¾ x 2 $15 each Brass Dedication Plate: 3 x 2 ½ (up to 80 characters) $26.50 *Please include text on bottom of this page $.20 extra for each character over 80 Language Plates: brass 3 x 1 (label your languages) $7.50 each *Brass Text:

3 PEACE GIFT ITEMS PRICE Bumper Stickers Blue with White Lettering $56 for 100 $.56 each Buttons Green with White Lettering $56 for 100 $.56 each Pencils 5 Assorted Colors with Gold Letters $4.25 a doz *Mix or Match green, natural, white, red or blue Earth Flag 3 x 5 The world from space on a dark blue background $48 Rubber Stamp Peace Message with colored ink pad $17.25 Wood Framed Peace Message With English Plaque (call if different language) $65 RUSH ORDER PRICING Please Call for All Rush Orders Orders Must Be Paid In Full for ALL Rush Orders! 4 Sided Plaque Poles $45 All Engraved Poles & 6 Sided Plaque Poles $55 All Other Items $25 Shipping & Handling for Peace Poles 4 Sided Peace Poles (cedar or aluminum 4-5 WEEKS before delivery) In Michigan $48.50 All other States $58.50 *please call for price quotes for Alaska, Hawaii & International 6 Sided Peace Poles (6-8 WEEKS before delivery) Standard for all States $85 *except Alaska, Hawaii or International *Please call for price quotes 8 Sided Peace Poles $375 *Please Call

4 Shipping for Smaller Peace Poles, Gift Items & Accessories Up to $25..$14.00 $101-$150 $27.00 Over $400..Please Call $26-$50 $18.50 $150-$200 $31.50 These Prices May Vary! $51-$100..$24.50 $201-$400 $42.50 Please Call for Shipping to: Alaska, Hawaii & International Only Add 6% Sales Tax in the State of Michigan on Poles, Accessories & Gift Items (not on shipping) If Tax Exempt in Michigan, please include Tax Exempt Number Shipping and Payment Information Date: Phone Number: Name: Billing Address: Organization: Shipping/Physical Address & Phone Number: *If Different than Billing Credit Card Information: Visa, Master Card, Discover, American Express Card Number: Expiration Date: VCN: (security code) PO Number: (for schools) Please Make Checks Payable to: Peace Pole Makers USA Check Number: Date of Planting/Dedication Ceremony: (needed for shipping purposes) Grand Total for Order with Shipping: *Please Include 6% Sales Tax on Michigan Orders ONLY $ THANK YOU FOR YOUR ORDER ~ DAVE & MARY KAY!!

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