Please Choose the Color of Chips & Quantities:
(2000 Chips Total)

*First Name:
*Last Name:
*Address:
*State:
*Zip:
*Day Time Phone:
Evening Phone:
*E-mail Address:
*City:
*Required Fields
We gladly ship orders for our International Customers!!
How did you hear about us?
Shipping Address
Call Us!
1-866-931-2398 M-F 9am-5pm EST
Order Form
Side 2
Graphic Choice:
Graphic Choice:
Side 1
Please indicate the text and picture for your Drink Chips
For Example: Bar Name & City,State
Fill in the boxes below with desired custom text.
(40 characters MAX).  Keep in mind the more letters you use, the smaller the text.  So consider this when choosing your custom text.  Less than 40 is ideal including spaces.
Please indicate the text and picture for your Drink Chips
For Example: Good For One Drink
Click the SUBMIT FORM Button to continue.  This will not complete your order.  You will continue on to payment in the next step.
Please verify that your chip totals are equal to the total amount you would like to order.