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269
online:
www.cresthealthcare.com| 2017 |
R15
Part Number:
Quantity:
Size: Height:
Width:
Surface Color:
Backplate Color (Marquis Style Only: Gold, Silver, or Copper):
Mounting:
Character Height (select one):
3
/
4
"
1" Other:
Raised Letters (select one):
Yes
No Other:
Text Alignment (select one):
Left
Center
Right Text Color:
All Capital Letters (select one):
Yes
No
Braille (select one):
Yes No
The space below is left blank for you to write out the exact text. Text will be engraved exactly as listed on this form.
Customer Signature:
Date:
Sign Order Form
Crest Custom Sign Order Form
Please fill out the attached form and fax to Crest Customer Relations at
1-800-369-9207
or email to
customerservice@cresthealthcare.com.Crest will create a quote for your custom product and contact you back
as quickly as possible.
Please note that custom signs are not cancellable and
non-returnable. Please ensure accuracy when placing
your order.
Color Selection
(Visit our website at
www.cresthealthcare.com/productguides.asp
to see color options or call
Crest Customer Relations at
1-800-328-8908
for
free color samples).
CONTACT INFORMATION
Contact Name:
Facility Name:
Customer #:
Phone:
__________________________
Fax:
___________________________
Email:
Preferred Contact Method: Email Fax