1. Self Service Island warning decals and red lettering on white background

Size: 12î x 18î
Cost: $10.00 each, plus tax & shipping.
Quantity Requested: _____

2. K-1 Kerosene decals and red lettering on white background

Size: 18î x 12î
Cost: $10.00 each, plus tax & shipping.
Quantity Requested: _____

3. Right To Know Informational Brochures

Size: 8.5î x 11î
Cost: 1-49 = $0.25 each 50-99 = $0.20 each Over 100 = $.50 each ++
Quantity Requested: _____

4. Driver Qualification Files Federal Motor Carrier Manila File,

Letter Size
Cost: $10.00 each, plus tax & shipping
Quantity Requested: _____

5. This Fuel Contains 10% Ethanol Decal

Size: 6î x 3î
Cost: $0.50 each, plus tax & shipping
Quantity Requested: _____

6. Minimum Octane Rating 87, 89, 91, 93

Size 3î x 2.5î
Cost: $0.50 each, plus tax & shipping
Quantity Requested: _____

7. Permanent Shipping Document Laminated

Size: 8.5î x 11î
Cost: $5.00 each, plus tax & shipping
Quantity Requested: _____

8. Hazardous Material Shipping Decal

Size: 2 ¼î x 1 ½î
Cost: $0.50 each, plus tax & shipping
Quantity Requested: _____

9. Annual Vehicle Inspection Report

Size: 8 ½î x 4î
Cost: $0.75 each, plus tax & shipping
Quantity Requested: _____

10. Safety Regulations Handbook Federal Motor Carriers Pocketbook

Cost: $5.00 each, plus tax & shipping
Quantity Requested: _____

11. This Product is 100% Gasoline and Contains No Alcohol in White Lettering on Blue Background

Size:11î x 3 ¾î
Cost: $1.00 each ++
Quantity Requested: _____

12. $10,000 Fine for Putting Leaded Gasoline in Unleaded Cars in White
Lettering on Red Background

Size: 5 ½î x 4
Cost: $0.50 each ++
Quantity Requested: _____

13. VI Last Visual Inspection in Red Lettering on White Background

Size: 6 ¾î x 2 ½î
Cost: $0.50 each, plus tax & shipping
Quantity Requested: _____

14. Federal Law Prohibits the Introduction of any gasoline containing lead or phosphorus into any motor vehicle labeled Unleaded Gasoline Only in Black Lettering on White Background

Size: 8 ½î x 2î
Cost: $0.50 ea.++
Quantity Requested: _____

15. Sale of Tobacco Decal in Blue Lettering on White Background

Size: 8 ½î x 11î
Cost: $2.00 each, plus tax & shipping
Quantity Requested: _____

16. Driver ís Daily Vehicle Inspection Report

Sold in pads of 100ís
Cost: $2.00 per pad, plus tax & shipping
Quantity Requested: _____

17. Surgeon Generalís Warning: Smoking by Pregnant Women in Red Lettering on White Background

Size: 8î x 8 ½î
Cost: $2.00 each ++
Quantity Requested: _____

18. Contains Methyl Tertiary Butyl Ether (MTBE)- Black Lettering on white background

Size: 5î x 3î
Cost: $1.00 Members/$2.00 Non-Mbrs ++
Quantity Requested: _____

19. Super Regular No Lead in White Lettering on Red Background

Size: 4î x 13 ½î
Cost: $1.50 each, plus tax & shipping
Quantity Requested: _____

20. State/Federal Employment Posters

Cost: $17.00 each, plus tax & shipping
Quantity Requested: _____

21. Flammable Plates

Cost: $10.00 each ñ Includes tax & shipping
Quantity Requested: _____

22. Additional IPMA Membership Directory

$35.00 each directory
Quantity Requested: _____

23. Membership Listings Labels, Disc or E-Mail

Cost: $100.00 each
Quantity Requested: _____

24. Disabled Fueling Sign

Size: 18 x 18 Aluminum Protruding Pole Sign
Cost: $25.00 each
Quantity Requested: _____

25. Neighbors Serving Neighbors -

Size: 4î x 6î double-sided window/door decal, screen-printed same image on both sides of white vinyl, premaskedz
Cost: .75 each plus tax and shipping

BE SURE AND CHECK YOUR SUPPLIES
Fax your order to IPMA at: 217/789-0222
Mail to: IPMA, P.O. Box 12020, Springfield, IL 62791
(All prices subject to change)

IPMA ORDER FORM FOR:

Name: __________________________________________
Company: _______________________________________
Address: ________________________________________
City, State & Zip: __________________________________
Phone: _________________________________________