Name:
New 911 Address:
City:
State:
Zip:
Phone:
Mail to: Bosler
Inc.
Payable to: Bosler, Inc
PO BOX
428
(Please send payment with order)
Allendale, SC 29812
If you have a Post Office box, you can put a 911 Sign post in your yard or by your driveway.
Please fill in the box below with your house or business numbers:
Select one of the three sign options below:
Vertical 6"x18" Reflective 911 Address
Sign Only (pre-drilled)........... $18.00 _____________
Horizontal 6"x18" Reflective 911 Address Sign Only
(pre-drilled)....... $18.00 _____________
Silver Reflective nail-on house
numbers.................................................
$1.35 _____________
Shipping (add $4.00 per sign): ______________
Total: ______________
Signs will not be made until payment is received.