2950 Manchester Circle
Corona, CA 92879
Attn: Ernie Buckley, President & CEO
Office (toll-free) 1-877-616-7768
Fax (toll-free) 1-888-222-1493
STATE OF NORTH CAROLINA
VITAL RECORD ORDER FORM
When you are ready to place an order for Vital Record paper, please complete this order form in full, and select SUBMIT at the bottom of the form. A confirmation of your order will be sent to your email. Please call (toll-free)1-877-616-7768 or email Ewbuckley@Ameritechinc.info if you do not receive a confirmation.
Please contact AmeriTech at 1-877-616-7768 or Ewbuckley@Ameritechinc.info should you have any questions.
Thank you very much for your business.
Printing Costs - Shipping Included!
Form #3914 cost $91.03 for 500 and $182.06 for 1,000
Form #3915 cost $125.42 for 500 and $250.84 for 1000
Shipping included in the above prices.