Formosa X-Stamper Form

Customer Name:_________________ Contact Number : ________________

Size: ___________________ Date:__________________
Color:______________

I hereby approve of the following:

1) I hereby reviewed and approve the design indicated below which will be printed on the actual
stamp. I will not hold Formosa liable for any error on the design above.
2) I also agree that any small and intricate design that I approve of might not appear clearly on the
stamp.
3) Change of design will not be honoured once stamp has been made
4) Delivery of the actual stamp could take up to 3 weeks.
5) Formosa will not issue any refund once stamp has been approved and paid

_______________________
Customer Name & Signature

Payment and Claim Stub

Customer Name: ___________________________
Amount to be Paid: _________________________
Barcode Number: __________________________
Formosa Representative Name & Sig: _______________
*Please attach receipt of payment at the stub to claim.