Name:_____________________________________Date:_________________________

Shipping Address:_______________________________________________________

City:___________________________ State/province:________________________

Country:____________________ Postal Code:_______________________________

Email address:__________________________________________________________

Phone No. and best time to call (optional):_____________________________
              
Custom Item description:________________________________________________

Kit/materials supplied:_________________________________________________

Quoted price:________________Downpayment amount:________________________

Amount owing upon project completion:___________________________________

Special Instructions:___________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Please attach or include in your order drawings, specifications and/or dimensions required to

complete job (if applicable), even if they were previously forwarded in prior communications.