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Fotofab Standard Shield Order Form

Contact Information

Name:
Title:
Company:
Phone:
Fax:
Email:
How did you hear
about Fotofab?:

Order a Standard Shield

Restart
Size
(Length x Width x Height)
Parts
(Per Sheet)
# of Sheets Price
(per sheet)
Subtotal
$75.00
= Subtotal

Order a Prototype Shield Kit

Click here to see what a Proto-Kit includes

Select Item: Price: Qty: Total:
Standard Prototype Kit $170.00
Small Prototype Kit $170.00

Shipping / Delivery

Please note:
* Orders placed before 12:00 PM (CST) can be shipped SAME-DAY
** Please allow 3-5 days additional if you choose ground shipping for your order
*** Need an extra day to schedule pickup for FedEx Ground

 

Delivery Date (MM/DD/YYYY)

Date to arrive on your dock:

[select date]     

Shipping Preference:
Shipping Account:

 

Shipping Information

Name:
Street:
 
City:   State:  Zip:

 

Purchase Order:

(Enter a name for a purchase order.)

 

Special Requests:

 

I authorize this Order. Terms and Conditions

 

After this order has been received, a sales representative will contact you for your payment/credit card information before the order is actually placed.

QA Form 026ws