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LUCITE.BIZ Online Quote Form

You can print this quote request form and fax it to 401-847-8076 or just click on the request button below and it will

be e-mailed to us! Please be as specific as possible so we can get you a rapid quote. 6 pc minimum.

Fill out the form below for a speedy custom quote. All information is kept confidential and is used only in gathering information for this quote. This in no way obligates you, but does allow us to assist you properly. You can email your artwork to artwork@lucitetombstones.com for a detailed quote. Upon receipt of your form a member of our staff will call you to discuss your project. Thank you.

*Name

Title

*Company/Firm

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

*Work Phone

Mobile

Fax

*E-mail

*Lucite Shape:

*Quantity Wanted:          *Size:

*Type of Insert/Art:

Options:

*Are you emailing art?:

Additional Description or Details about your project:

Describe the "Shape" are you looking for?:

What Size Lucite? (nearest approx or multiple choices):

Quantity, & Thickness needed: (standard thickness is 7/8")

Event Date or "Must Have" Date? (mm/dd/yy):

Logo/Printing Inside or Outside (on surface)?:

Optional Solid Color Background or Bottom?:

Please have a Lucite Sales Specialist call me.

LUCITE.BIZ ORDER REQUEST	we will confirm all order requests by phone before any work is done
SHIP-TO ADDRESS: (if different than above)	SHIP TO THE ATTN OF:
Notes/Comments:
Credit Card Name	MasterCard Visa Amex Discover
Credit Card #	exp: Call Me to Discuss Prefer to Send Check

Any other details like who will receive the awards, date needed, type of project:

Thank you for your request. One of our professional advisors will contact you about your project.

	All prices quoted in US Dollars. If you require delivery to a different country, please contact us. *Below 5 pc quantity requests will not get response. Major credit cards accepted. Secure online transactions.
	Call Us For Special Quotations. Minimum Order $200. 401-841-5646 / 800-520-1691 1151 Aquidneck Avenue . Suite 498 . Middletown, RI 02842 USA [Home] [Artwork] [General Terms] [Email Us] Copyright ©2008 by Lucite.biz - ALL RIGHTS RESERVED

*Name
Title
*Company/Firm
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
*Work Phone
Mobile
Fax
*E-mail

	Describe the "Shape" are you looking for?:
	What Size Lucite? (nearest approx or multiple choices):
	Quantity, & Thickness needed: (standard thickness is 7/8")
	Event Date or "Must Have" Date? (mm/dd/yy):
	Logo/Printing Inside or Outside (on surface)?:
	Optional Solid Color Background or Bottom?: