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Concept 1 - V3
Bronze Plaque
(18"w x 28"h)
Black Background
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Bronze Plaque Details |
|
Total |
Bronze Plaque
Size: 18"w x 28"h
|
|
$1,693.44 |
Shipping: |
|
$57.99 |
Total: |
|
$1,751.43 |
| |
*PLEASE
CHECK ALL DATES, SIZE, WORDING AND SPELLING.
K BRONZE IS NOT RESPONSIBLE FOR ANY MISTAKES
IF FINAL PRODUCT MATCHES SIGNED PROOF.
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|
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| Shipping Address |
| Address |
____________________. |
| City |
____________________. |
| State |
____________________. |
| Zip |
____________________. |
| Credit Card Billing
Address |
| Address |
____________________. |
| City |
____________________. |
| State |
____________________. |
| Zip |
____________________. |
|
| A major credit card
is required to begin production on your
project. We will contact you to take this
information over the phone. |
| Credit card |
____________________. |
| Credit Card Number |
____________________. |
| Expiration Date |
____________________. |
| Cardholder's Name |
____________________. |
| Card ID Number |
____________________. |
|
|
| |
To process your order please sign and fax this order
verification form to the number listed below. FAX
TO: (866) 304-0517
|
| |
| Signature of Purchaser
_________________________ . |
| Date ________________________________________
. |
 |
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