Call us at (207) 537-5500

ORDER FORM

To order any of our quality products, please fill out the ORDER FORM below.

For all International orders, Alaska and Hawaii, there may be an extra charge.

Fill out the form below and it will be sent to us via e-mail.

All Dealer Inquiries Welcome!
 

 


 

ORDER FORM

Name

Email Address

Street Address

City

 

 

State

Zip Code

 

Work Phone

Home Phone

 

 

Shadowbox You're Interested In


Burial Flag Display You're Interested In

Gift or Accessory You're Interested In

Background Fabric Choices

Date Product Required/ Not Ceremony Date (Example: 31 Dec 05)

Wood Type Preferred

 

 

Oak    

Black Walnut (Add $15)    

 

Laser Box Top Text:

Laser Box Bottom Text:

 

 

(Optional Brass Plate Text(Not included in purchase price)/ Special Instructions

 

How Did You Find Shadowbox 4 U?


Other:

For us to complete your order you must call
us with a Visa/Mastercard at (207) 537-5500