Order Form:

www.lamacoids.com

83 Bigwin Road, Unit 11

Hamilton, Ontario

L8W 3R3

Phone: (905) 385-3092

Fax: (905) 385-3093

Email: lamacoids@lamacoids.com

LAMACOID SURFACE COLOR

(SURFACE)

 

______________________________________

(Color)

LAMACOID ENGRAVED LETTER COLOR

(CORE)

 

______________________________________

(Color)

 

FONT

______________________________________

CHARACTER HEIGHT (in OR mm)

 

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(Char. Height) (Units)

 

JUSTIFICATION

LEFT JUSTIFIED

CENTERED

RIGHT JUSTIFIED

CASE

UPPER CASE ONLY

LOWER CASE ONLY

UPPER & LOWER CASE

ADHESIVE REQUIRED

YES

NO

STYLE AND SIZE

SQUARE / RECTANGLE 

EDGES

BEVELLED

MOUNTING HOLE INFO

INDICATE SIZE QUANTITY AND LOCATION REQUIRED

ENGRAVED TEXT AND QUANTITY OF EACH LAMACOID

ATTACH INFO.

PLEASE INCLUDE THE FOLLOWING:

COMPANY NAME                                                                                                     

CONTACT NAME                                                                                                     

PHONE #                                                                                                               

BILLING ADDRESS                                                                                                  

                                                                                                                          _ 

                                                                                                                          _ 

SHIPPING ADDRESS                                                                                              _

                                                                                                                           _

                                                                                                                            _

PREFERRED METHOD OF PAYMENT

CERTIFIED CHEQUE / MONEY ORDER

CREDIT CARD

____________________________________________________________

     TYPE                CARD NUMBER                EXPIRY                    NAME

PURCHASE ORDER / CREDIT (MUST BE PRE-APPROVED)

INSTRUCTIONS

Print and fax back this page.

COPYRIGHT CULLODEN AUTOMATION INCORPORATED 2009