 FINE CUSTOM LAMINATED WALL PLAQUES
THERMO PLAQUE COMPANY INC.
14928 Calvert St., Van Nuys, CA 91411
CUSTOMER SERVICE (800) 245-7525 |
FAX (818) 988-8144 PHONE (818) 988-1080
NOTHING HAPPENS until this order
form is printed out, filled out, and mailed
to us with your diploma (or photo, etc.)
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| 1. SOLD TO |
| Name |
| Street |
| City, State, Zip |
| Phone ( ) |
| Fax ( ) |
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| 2. SHIP TO |
| Name |
| Street |
| City, State, Zip |
| Phone ( ) |
| Fax ( ) |
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| 3. METHOD OF PAYMENT |
 I have enclosed a Check or Money Order Made payable to Thermo Plaque Co., Inc. Check #_____________ |
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| 4. DOCUMENT DESCRIPTION (Photo? Diploma? News Article? Name or Title?) |
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IMPORTANT IF YOU HAVE ANY QUESTIONS, DO NOT HESITATE TO CALL
CUSTOMER SERVICE (800) 245-PLAK (800) 245-7525
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| 5. DOCUMENT SIZE measure and calculate below: |
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COST
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Length______ inches X Width_______ inches= square inches
Refer to price chart for cost, and enter it to the right. |
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5. |
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| 6. MULTIPLE ITEM LAYOUTS |
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6. |
| If two or more items on one Plaque, $5.00 each piece. |
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| 7. BACKGROUND COLOR (Circle One) |
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7. |
1. Red 2. Blue 3. Black 4. White 5. Green 6. Orange 7.Yellow
8. Black Walnut 9. Centennial Walnut 10. Elm Burl 11.Teak Wood
12. Cherry Wood 13. Red Mahogany 14. California Redwood 15. Oak
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N.C.
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8. DOCUMENT TRIM & EDGE PAINT
Standards for both are Gold. Any Substitution is $5.00 each: |
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8. |
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Document Trim (Circle or write in choice): 1. Gold Trim 2. Other_______________________
Please use two trim colors around my document: ___________________ ____________________
Please use two trim colors aromy documtuFirst color (touching document) Second Color
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| Edge Paint (Circle or write in color): 4. Gold Edge Paint (no charge) 5. Other__________ |
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| 9. THERMO PLAQUE SURFACE FINISH (Circle One) |
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9. |
| 1. High Gloss (no charge) 2. Non-reflective Satin ($5.00) 3. Linen ($5.00) |
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Subtotal
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________
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Sales Tax (California Residents Add 8.25%)
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________
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| 10. SHIPPING AND HANDLING: $9.50 For the 1st Plaque, $5.00 each add'l plaque |
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10. |
| If anywhere in the Continental U.S. - Alaska, Hawaii & foreign countries by quote: Call customer Service. If ordering more than one Plaque, print another order form, but pay only $5.00 postage for the add’l plaque. |
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Total
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________
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Expiration Date 