LASER ENGRAVED NAMEPLATES Account #: P.O.: Date: Project ship date: Ship to: Bill To: Company Name: Company Name Address: Address: Address: Address: City, State, Zip: Phone: Ship via: UPS City, State, Zip: FED-EX Method of Payment: SPEEDEE FREIGHT Contact Name: GEMINI DELIVERY ________________ COD • Pre-Pay • Net 30 • Credit Card / Card # _____________________________________ Exp. Date _______/_______/_______ Sec. Code:_________Billing#:______Zip:_______ NAMEPLATE ENGRAVING 1. 2. SIZE OF PLATE ______________ (WIDTH) _________________(HEIGHT) $2.50/square inch COLOR OF PLATE (CIRCLE ONE) 1 - BRUSHED ALUMINUM (MATTE) 2 - DEEP BRONZE 3 - BRUSHED SILVER (SHINY) 4 - EUROPEAN GOLD (MATTE) 5 - BLACK with WHITE 6 - BLACK with GOLD 7 - BRUSHED GOLD (SHINY) 8 - BLUE with WHITE 9 - WHITE with BLACK 10 - RED with WHITE 1 - BERNHARD MOD BT 2 - COMIC SANS MS 3 - English Vivance 4 - FUTURA LT BT 5 - GOUDY HANDTOOLED BT 6 - POSTER BONDI BT 7 - OZ HANDICRAFT BT 8 - TIMES ROMAN 9 - Typo Upright BT 3. TYPE OF FONT (CIRCLE ONE) 4. PRINT EXACT TEXT BELOW - Indicate UPPER OR lower case AND ANY SYMBOLS REQUIRED SUCH AS DOTS - DASHES - COMMAS - PERIODS - ABBREVIATIONS ___________________________________________________________________________ $ $ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 5. A set up charge will be applied when more than 3 lines of type are NOT sent as a jpg or pdf file. (10 lines or more may incur additional charges if not in jpg or pdf file) $5.00 set up charge $ 6. A “TRADEMARKED” LOGO MUST BE SENT IN A PDF FILE VIA E-MAIL ALONG WITH A SIGNED RELEASE TO DUPLICATE IT - WE ARE UNABLE TO ENGRAVE WITHOUT IT Additional $25.00 logo set up charge $ OFFICE USE ONLY: SPECIAL INSTRUCTIONS: QUANTITY DISCOUNT $ PACKING CHARGE $ ADDITIONAL CHARGES COD FEE SHIPPING GRAND TOTAL $ $ $ $