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275

phone:

1-800-328-8908

| fax:

1-800-369-9207

| online:

www.cresthealthcare.com

| 2016 |

R10

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 curtains are not cancellable and

non-returnable. Please ensure accuracy when placing

your order.

Color Options

(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.)

Part Number:

Quantity:

Size:

Height

Width

Surface Color:

Mounting:

Character Height (select one):

3

/

4

"

1"

Other

Raised Letters (select one):

Yes

No

Other

Text Allignment (select one):

Left

Center

Right

Text Color:

All Capital Letters (select one):

Yes

No

Braille (select one):

Yes

No

Content:

(Text will be engraved exactly as listed on this form)

Customer Signature:

Date:

CONTACT INFORMATION

Contact Name:

Facility Name:

Customer #:

Phone:

__________________________

Fax:

___________________________

Email:

Preferred Contact Method: Email Fax