Print & Fax Order Form for Windy City Laser Works

Fax this order to: (815) 788-1611.                                  

Contact Info:

Your Name:___________________________________________

Company Name:_______________________________________

Address:_____________________________________________

City:________________________________________________

State:____________________  Zip:______________________

Phone:___________________ Fax:_______________________

Email:_______________________________________________

Original Image Info:

___ I have an existing photo/digital image.  I will email it to gwoods@windycitylaser.com

___ I have an existing photo/digital image.  I will mail it to Windy City Laser Works.

___ I have an existing photo/digital image.  Please pick it up at my office.

___ I would like Windy City Laser Works to take the photo.

Please provide address  to property if Windy City Laser Works is taking the photo.

__________________________________________________________________

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Specify your order:                        

___Standard Size: $45

___Deluxe Size: $85

___ Cherry Wood      ____ Corian with (circle one) brown or black fill      ___ Black Marble

Text (if any) for the front side                                   Text if any for the back side

_________________________________                       _________________________________

_________________________________                       _________________________________

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Extras:

___ Your business card laser engraved onto the back side of engraving. - $5

Shipping Options:

___ Please ship the engraving to me at my address listed above

___ Please ship the engraving to my client with a "Thank You" note from me. 

Client's address:___________________________________________________________________________

___ Please ship to the following location instead of the 2 above choices:

_________________________________________________________________________________________

Please Click here to return to Windy City Laser Works.

Fax this order to: (815) 788-1611.