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PE Stamp/Embosser Order Form

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We will have your name and registration number imprinted on a Rubber Stamp for $35 or on a Pocket Embosser for $50. The stamp and embosser may be purchased together for $80. Shipping is included.

To order, mail this order form and a check made payable to TSPE to:

Tennessee Society of Professional Engineers
Tennessee Engineering Center
800 Fort Negley Boulevard,
Nashville, TN 37203

Order forms may be faxed to (615) 254-1923 but merchandise will not be mailed until the check is received.

Stamp	$35
Embosser	$50
Both	$80

________________________________________________________________
Name

________________________________________________________________
Address

________________________________________________________________
City, State, Zip

________________________________________________________________
Phone

________________________________________________________________
Registration Number

$_______________
Amount Enclosed

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