2018 Crest Healthcare
Sign Order Form
Crest Custom Sign Order Form
CONTACT INFORMATION
Please fill out the attached form and fax to Crest Customer Service 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.
Contact Name:
Facility Name:
Customer #:
Color Selection (Visit our website at www.cresthealthcare.com /productguides.asp to see color options or call Crest Customer Service at 1-800-328-8908 for free color samples).
Phone: __________________________ Fax: ___________________________
Email:
Preferred Contact Method: Email Fax
Part Number:
Quantity:
Size: Height:
Width:
Surface Color:
Backplate Color (Marquis Style Only: Gold, Silver, or Copper):
Mounting:
3 / 4 "
Character Height (select one):
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:
277
online: www.cresthealthcare.com | 2018 | R20
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