Online Decal Order Form

Stevens Agents - after many phone calls to our web administrator, the online order page is finally beginning to materialize.  It’s not complete yet, but the important part works - the information will be sent to us when the submit button is hit. If you’re not comfortable using this form, call us at 1-800-430-5475 to place a phone order.

To use the form - fill in the information as completely as possible. Please be sure to include your phone number - we will call you to verify the order and discuss any information that has been left out. If placing an order for multiple packages, please submit a form for each package.  Only the agent name and information unique to each vehicle needs to be submitted after the first completed form.

Agent Name

Agent Number

Contact (Your Name)

Phone Number

Fax Number

Package Number

Vehicle Year

Vehicle Make

Vehicle Model

Vehicle Color

Unit Number

Additional Information

Date Required

Payment Method

Shipping Address & Contact Person

Empty Weight - Power Units only

Gross Weight - Power Units only

Additional Authority Numbers

With most browsers, you will see a few prompts after hitting the submit button.  Answer yes at the prompts to send the mail.  Errors with some browsers will cause the email address not to be shown properly when sending. As long as you answer yes to the prompts the information will be properly sent.  If you do not receive a phone call verifying the order within 48 hours, please call us. For rush orders, please call 1-800-430-5475.  Thank You

11465 E. Holland Rd.
Reese, MI 48757
989-652-6322
fax:989-652-3423
Nationwide:
800-430-5475

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