PTI Business Card Order Form - GWS Family of Companies

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People's Trust Insurance Business Card Request Form

Is this a reorder? *

Yes
No

Has any of your information changed? *

Yes
No

Person Requesting (Manager) *

Manager's Email *

Requesting for (Employee) *

Employee's Email *

Enter who will approve the PROOF (Approver) *

Approver's Email *

Order Date *

Due Date

Card Information

PTI Office Address

Full Name as you want it shown on card

Title 1 *

Title 2 (if applicable)

Main Office Phone Number

This will default to the main office number for the company you selected above.

Do you want the Main Office Phone Number to display on this business card?

YES
No

PTI Main Phone Line

Office Extension

Phone - Direct Line

Mobile (optional)

Fax (optional)

Email *

Quantity (250-1000) *

250
500
1000

I want a QR Code

Yes
No

Have the QR code link to:

Executive Bio
VCard
Other

Deliver to/Special Notes/Request QR Code *

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