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Laser Engraved PLAQUE Order Form


Complete the Order Form Below.    
After submitting your order below, you will receive an "email text proof" of your tree
for you to SPELL CHECK AND PROOF.  All customers are required to proof their family
trees to ensure that they like the layout and ensure that all information is correct.  
We make it easy.   This provides you with the opportunity to see it so that you do
not have the worry about any errors.  Please allow a minimum of 48 hours for proofs.
You will not be required to provide payment information until you have "approved your proof".


PLEASE DO NOT USE THE "ENTER" KEY to take you from one line down to another.
USE THE "TAB KEY" to get you from one field to another.

If you are including birthstones in your tree but do not want to list the birthdates with the names
on the actual engraving, please be sure to list the "NAME = BIRTHSTONE" in the
TEXT TO INCLUDE area of the form below.   

XMAS SPECIALS -- Please complete a separate order form for each product item.
We will receive both orders and put them together so that you will receive one 1/2 off.


Name:

Email Address:

Phone #:

Street Address:

City:

State:

Zip:

Please Ship to: (if different from address above):

ALL INFORMATION & TEXT TO INCLUDE:
Use this space to list all names & dates to include on your family tree. (dates are optional) Please list any custom design, verse, and or graphics you would like to see included: Please remember if you are including Birthstones but not birthdates, to list the birth month next to each name so that we know which stone to insert.

Select a Plaque:   Mahogany     Natural Cherry

Select a Size: 8 x 10     9 x 12 12 x 15 (Natural Cherry Only)

Quantity:

Do you wish to include Birthstones?:
IF YES ---Please make sure on the TEXT TO INCLUDE FIELD, that you include the birth month (only if you do not include birthdates) next to each person's name so we will know what stone to use.

YES NO

Title of Tree:


Date Needed By:



Copyright © CcYoung Designs 2002 - 2008
All rights reserved
Updated September 2008