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Account Name:
*
Name on Memorial:
*
Order #:
Warranty:
A
Yes
Heirloom/Artisan
Layout Needed:
*
Choose One
Yes
No
Address:
*
City:
*
State:
*
Zip:
*
Phone Number:
*
Fax Number:
Email:
*
Granite Color:
*
Marker:
Sawn Sides:
*
Choose One
Yes
No
Design #:
Style:
*
Choose One
Flat/Flush
Bevel
Slant
Monument
Other (see special instructions)
Tablet:
Polish:
*
Choose One
None (all steeled)
P1
P2
P3
P5
Other (see special inst...)
Bronze Size:
Base:
Top:
*
Choose One
N/A
Serp
Oval
Flat
Other (see special instructions)
Lettering/Font Style:
Choose One
Roman
Vermarco
Murry Hill
Optima
Friz Quadrata
Times Roman
Other (see special inst...)
Vase:
*
Choose One
Yes
No
Bronze Base:
Custom:
Litho Color:
*
Choose One
Recommended
None
Black
Grey
Highlight
White
Other (see special inst...)
Duplicate
*
Choose One
No
Rub Included
Rub Needed
Other:
Name on Back:
*
Choose One
Yes
No
Other (see special instructions)
Carving:
*
Choose One
Flat
Shadow
Shape
Memorial Inscription:
Special Instructions:
Arrangements:
*
Choose One
Correct
Reversed
Cemetery:
City:
Caretaker:
Phone Number:
Section:
Block:
Lot:
Grave:
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