Order Form
Page 1 of 3
Gifts Collection
COLLARED SPORT SHIRT – MEN’S
QTY
CHOOSE SIZE XS S M L XL 2XL 3XL 4XL
CHOOSE COLOR BLACK CORNSILK LAKE BLUE NAVY
PINENUT SPORT RED WHITE
COLLARED SPORT SHIRT – WOMEN’S
Apparel
Item Total
Item Total
Item Total
Item Total
QTY
x $85 + $10 each S&H (XS-4XL)
Item Total
QTY
x $60 + $10 each S&H (XS-XL)
x $63 + $10 each S&H (2XL-4XL)
Item Total
x $75 + $10 each S&H (S-XL)
x $78 + $10 each S&H (2XL)
x $80 + $10 each S&H (3XL)
Item Total
Item Total
QTY
x $75 + $10 each S&H (S-L)
x $78 + $10 each S&H (XL-1XL)
BASEBALL CAP
QTY
x $35 + $10 each S&H
Item Total
MONEY CLIP
QTY
x $200 + $10 each S&H
Item Total
CUFF LINKS
QTY
x $200 + $10 each S&H
Item Total
EXECUTIVE HIGH BALL GLASS
QTY
x $15/GLASS + $10 each S&H
Item Total
CLEAR PUB GLASS
QTY
x $10/GLASS + $10 each S&H
Item Total
STEMLESS CRYSTALLINE WINE GLASS
QTY
x $40 + $10 each S&H
Item Total
CRYSTALLINE WINE GLASS
QTY
x $44 + $10 each S&H
Item Total
CRYSTALLINE DECANTER
QTY
x $99 + $10 each S&H
Item Total
CRYSTALLINE CARAFE QTY
x $110 + $10 each S&H
Item Total
MARTINI SET
QTY
x $125 + $10 each S&H
Item Total
EXECUTIVE COASTERS – SET OF 4
QTY
x $265 + $10 each S&H
Item Total
EXECUTIVE COASTERS – SET OF 6
QTY
x $299 + $10 each S&H
Item Total
STEEL TUMBLER
QTY
x $20 + $10 each S&H
Item Total
BUSINESS CARD HOLDER
QTY
x $20 + $10 each S&H
Item Total
STYLUS PEN SET
QTY
x $35 + $10 each S&H
Item Total
LEATHER JOURNAL
QTY
x $110 + $10 each S&H Item Total
LEATHER E-PADFOLIO
QTY
x $135 + $10 each S&H Item Total
METRO VERTICAL LAPTOP BRIEFCASE
QTY
x $135 + $10 each S&H
Item Total
GOLF GLOVE – MEN’S
QTY
x $29.99 + $10 each S&H
Item Total
QTY
x $29.99 + $10 each S&H
Item Total
GOLF TOWEL
QTY
x $29 + $10 each S&H Item Total
GOLF UMBRELLA
QTY
x $99 + $10 each S&H
Item Total
WOOL THROW
QTY
x $199 + $10 each S&H
Item Total
QTY
CHOOSE SIZE XS S M L XL 2XL 3XL 4XL
3XL 4XL
PACKABLE WIND JACKET – WOMEN’S
CHOOSE SIZE XS S CHOOSE Color BLACK M L XL STEEL GRAY
2XL FULL-ZIP FLEECE JACKET – MEN’S
S M L XL 2XL 3XL
FULL-ZIP FLEECE JACKET – WOMEN’S
CHOOSE SIZE S S M M L L XL XL
LEFT HAND S M/L QTY
Item Total
Item Total
Item Total
Item Total
RIGHT HAND
GOLF GLOVE – WOMEN’S
CHOOSE SIZE QTY
QTY
1XL
CHOOSE QTY
QTY
CHOOSE SIZE CHOOSE SIZE Item Total
MIDNIGHT NAVY
VARSITY PURPLE
HALF-ZIP WIND JACKET – MEN’S
Barware
x $75 + $10 each S&H (XS-XL)
x $77 + $10 each S&H (2XL)
x $82 + $10 each S&H (3XL-4XL)
x $75 + $10 each S&H (S-XL)
x $77 + $10 each S&H (2XL)
S M L XL 2XL
CHOOSE COLOR BLACK FLAMINGO LUCKY GREEN ORANGE BLAZE TEAM RED UNIVERSITY BLUE VARSITY ROYAL VIVID GREEN WHITE
Bus. Acc.
QTY
QTY
CHOOSE SIZE Sporting Goods
QTY
L (Left Hand Only)
Please be sure to include shipping and billing information on page 3.
All 3 pages must be returned when placing your order.
All products subject to availability. Logo placement & color may vary.
Turn to Next page to
Choose Recognition Items
0
Order Form
Page 2 of 3
2017 Recognition Collection
2017 RECOGNITION VIDEO PLAQUE
QTY
x $475 + $16 each S&H
Item Total
Super Lawyers Recognition Video Plaque is a video of approximately 60 seconds in length that includes Subscriber attorney image(s), Subscriber contact information, Subscriber’s
current year of selection to the Super Lawyers list and information about the Super Lawyers selection process. Subscriber will not have the ability to edit or pre-approve the video prior
to completion. Subscriber will own the Super Lawyers Recognition Video Plaque.
Selection Collection
2017 FRAMED CERTIFICATE
QTY
BLACK & SILVER x $259 + $20 each S&H
Item Total
MAHOGANY & SILVER BLACK & GOLD MAHOGANY & GOLD
2017 HD METAL PRINT PLAQUE
QTY
x $259 + $20 each S&H
Item Total
QTY
x $259 + $20 each S&H
Item Total
2017 DESK MARQUEE
QTY
x $259 + $20 each S&H
Item Total
2017 WOOD PLAQUE PANEL (No Attorney Name Engraved)
QTY
x $259 + $20 each S&H
Item Total
QTY
x $299 + $20 each S&H
MAHOGANY & GOLD
Item Total
x $259 + $20 each S&H
MAHOGANY & GOLD
Item Total
CHOOSE COLOR BLACK GLOSS WHITE GLOSS SILVER GLOSS
2017 LOGO MARQUEE
CHOOSE COLOR BLUE GRAY ORANGE PURPLE
2017 PLATINUM PROFILE PLAQUE*
BLACK & SILVER MAHOGANY & SILVER BLACK & GOLD 2017 STANDARD PROFILE PLAQUE**
CHOOSE COLOR Custom Products & Services
Item Total
2017 RECOGNITION PLAQUEQTY
CHOOSE COLOR CHOOSE COLOR Anniversary Collection
x $199 + $16 each S&H
BLACK & SILVER MAHOGANY & SILVER QTY
BLACK & GOLD 2017 STANDARD PROFILE REPRINTS
Item Total
100 REPRINTS – $150 + $10 S&H 300 REPRINTS – $295+ $10 S&H 500 REPRINTS – $395 + $13 S&H
POSTCARDS – CALL FOR PRICING OPTIONS
CUSTOM PUBLISHING – CALL FOR PRICING OPTIONS
CUSTOM SUPER LAWYERS BADGE DESIGN
$250 w/print or online purchase Item Total
$600 w/out purchase
2017 PERSONALIZED WINDOW DECAL
QTY
x $25
Item Total
Item Total
5 COPIES – $19.75 + $10 S&H 10 COPIES – $39.50 + $13 S&H 15 COPIES – $59.25 + $16 S&H 20 COPIES – $79.00 + $19 S&H
ANNIVERSARY – ACRYLIC***
CHOOSE # OF YEARS 5 YEARS 10 YEARS ANNIVERSARY – CRYSTAL***
CHOOSE # OF YEARS 5 YEARS 10 YEARS QTY
x $259 + $20 each S&H
Item Total
QTY
x $259 + $20 each S&H
Item Total
QTY
x $259 + $20 each S&H
Item Total
15 YEARS
15 YEARS
ANNIVERSARY RECOGNITION PLAQUE***
CHOOSE # OF YEARS CHOOSE COLOR 5 YEARS 10 YEARS 15 YEARS
BLACK & SILVER MAHOGANY & SILVER BLACK & GOLD ANNIVERSARY DESK MARQUEE***
CHOOSE # OF YEARS 5 YEARS 10 YEARS QTY
MAHOGANY & GOLD
x $259 + $20 each S&H
Item Total
15 YEARS
Name to appear on item (Selection and Anniversary Merchandise only)
Turn to Next page to Complete
Shipping and Payment info
*Available for firms or attorneys that purchase the Platinum Profile print package in a specific publication.
**Available for attorneys that purchase the Standard Profile print package in a specific publication.
***Available for attorneys selected to the Super Lawyers list 5 or more years.
All Items MAY TAKE 6-8 WEEKS FOR DELIVERY.
Please be sure to include shipping and billing information on page 3.
All 3 pages must be returned when placing your order.
All products subject to availability. Logo placement and color may vary.
0
Order Form
Page 3 of 3
Shipping & Payment Info
Calculate Total
Merchandise total (from pages 1 and 2)
Include Sales Tax for the State Item is Shipped (required)
Shirts, jackets and hat, including S&H charge,
are tax exempt in MA, MN, NJ, PA, RI & VT
% = grand total
SHIPPING INFORMATION
Firm Name
Attention
Address City/State/Zip
Phone
Email
PAYMENT INFORMATION
I will be using a Personal Business check or credit card
(If no selection is made, purchase above will be setup under the Firm’s business account)
Check enclosed payable to: SUPER LAWYERS
Mail to: Super Lawyers, Attn: Tina Justison, 256 Chapman Road, Oxford #201, Newark, DE 19702
Charge my credit card - check one: VISA MASTERCARD AMERICAN EXPRESS
(NOTE: Charges will appear as *TCD-Thomson Reuters or *TCD-Thomson West on your credit card statement.)
Billing Address (if different than Shipping) Card number
CVV code
Exp. date
Name on Card
SIGN HERE TO APPROVE OUR PROCESSING OF YOUR ORDER (this applies to credit card or check payments)
!
Credit Card Orders
Scan form and send to:
[email protected]
,
Check Orders
Mail: Super Lawyers
Attn: Tina Justison
256 Chapman Road, Oxford #201
Newark, DE 19702
All products subject to availability. Logo placement and color may vary.
© 2016 Super Lawyers, part of Thomson Reuters. All rights reserved.
9 Questions
Tina Justison
302-444-9489
[email protected]