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Self-Inking Signature Stamp Order Form

Contact and Billing Information:

Departmental Charge

If you wish to use a P-Card or other debit/credit card you will be contacted for that payment information.
Please DO NOT email us your debit/credit information.

For information regarding ordering nameplates/signs or for questions about this form, contact: [email protected] or call us at 515-294-9244.

Self-Inking Signature Stamp Information

Signature stamps require three original signatures in black ink on a plain, white piece of paper. There can be nothing else on the front or back of this paper. Please sign in the size that you would like the signature to be produced on the stamp. If the person signing wrote too large the signature can be sized down. Please use the provided spaces to note the maximum height and width of the stamp. Pricing for signature stamps vary based on the size of the stamp. Signature stamp orders MUST be mailed or brought to the store. No faxes please. The signature stamp is compiled from the three signatures provided to ensure a true signature.

Please mail signatures to:
UBS, Memorial Union
Campus Code is 1131

For information regarding ordering custom stamps or questions about this form, contact:

Ink Color:*



Maximum Signature Height (in inches):*

Maximum Signature Width (in inches):*

Name of person whose signature will be on the stamp:*

I will or have already mailed/brought in a sheet with three signatures and I understand that the stamp cannot be ordered until the three signatures are provided I Agree.

Special Instructions:

(Please specify different typestyles for different lines if necessary. Our typesetters will design your stamp based on your font and font size. If you have multiple stamps with slight alterations, please type alternate information here.)
Item Count: 0
Sub-Total: $0.00
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