EmailMe Form - Southwell Letters Quote

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<table border="0" cellpadding="0" cellspacing="0" width="59"><tr><td><a href="http://www.southwellco.com/castplaques.html"><img src="http://www.southwellco.com/images/home_r4_c3.gif" border="0" alt="Our custom cast plaques." width="59" height="18" /></a></td>
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<p><b><font size="4" face="Arial">CAST/CUT-OUT LETTERS<br />
QUOTATION FORM</font></b> </p>
<p><font size="2">All fields marked with a (*) is required
</font> </p>
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Bill To - Company/Name: (*)

Contact: (*) *

Address: (*) *

City: (*) *

ZIP: (*) *

State (*) *

Email: (*) *

Phone (*) *

Fax

Ship To:

Same as Bill To address

Company/Name:

Contact:

Address:

City:

ZIP:

State

Fax:

Do you need a specific delivery Date?(*) *

If Yes When?

Are you willing to pay RUSH charges?

1. Quantity and Size (inches)

2. Quantity and Size (inches)

3. Quantity and Size (inches)

4. Quantity and Size (inches)

Material:

Aluminum

Bronze

Brass (cut-out letters only)

Finish:

Satin Finish

Baked Enamel

Clear Anodized

Dark Bronze Duranodic

High Polished

Letter Styles:

Thickness

(cut-out letters only) 1/4\"

1/2\"

Mounting

F-1(flush)

P-8(projected)

E-6(extra charge)

Text:: Size(*) *

Type your message here(*) *

Text Size

Type your message here

Text Size

Type your message here

Text Size

Type your message here

Image Verification
	Please enter the text from the image: [Refresh Image] [What's This?]

<p align="center"><font size="2">All orders are
F.O.B. Factory and will have freight added at time
of shipment.</font><br /></p>

<p align="center"><font size="2">You may also fax,
mail, or <a href="mailto:sales@southwellco.com">email</a>
us your text, see information below.</font>
</p><p align="center">

</p>