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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:

NO		 Standard Prototype Kit $170.00

YES
NO		 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 [select date]      Shipping Preference:
(date to arrive on your dock): MM/DD/YYYY

Shipping Account:

Shipping Information

Name:
Street:
 
City:   State:  Zip:

Purchase Order:

(The name on the credit card will be used for a purchase order unless you specify otherwise.)


Special Requests:




I authorize this Order
Terms and Conditions



QA Form 026ws