Laminated Plaques Order Form
Lowest Prices on the Internet!
Print and fill out this order form. Mail with your document(s).
Please remember to protect your document(s) between stiff cardboard or other protective shipping material.
Send to:
Docu-Seal
337 W. Cerritos Ave.
Glendale, CA 91204
Phone - 818-550-9144
Fax - 818-550-9126
info@docu-seal.com
ORDER FORM
Name__________________________________________________________________
Organization Name_______________________________________________________
Address________________________________________________________________
City, State, Zip___________________________________________________________
Phone____________________________ Email________________________________
We will confirm receipt of your documents by e-mail
Credit Card Type (circle one): Master Card / Visa / American Express
Card Number ______________________________________________
Exp. Date ___________________ CVV2 Code _____________________
CVV2 code is 3 numbers from back (Visa/MC) or 4 numbers from front of card (Amex)
Shipping Information (if different than above)
_____________________________________________________
_____________________________________________________
_____________________________________________________
___________________________________________________
_____________________________________________________
Please list your plaque selections below using the following options:
| Wood Grains |
Walnut |
Oak |
| Solid Colors |
Black |
White |
Red |
Dark Blue |
Yellow |
Orange |
Brown |
Finishes
Gloss or Satin
| Quantity |
Document
Size |
Wood Grain
or Color |
Satn or
Gloss Finish |
Price |
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Sales Tax (CA) residents add local sales tax _____________
UPS Shipping ______________
Total ______________
Price List
| Document or Photo Measures……. |
Price |
| 3" x 5", 4" x 6" or 0-25 Square Inches |
$67.90 |
| 5" x 7", 6" x 8", 7" x 9" or 26-70 Square Inches |
$73.90 |
| 8" x 10", 8-1/2" x 11", 8" x 12" or 71-99 Square Inches |
$79.90 |
| 9" x 12", 10" x 13", 11" x 13" or 100-149 Square Inches |
$102.90 |
| 11" x 14", 12" x 15", 12" x 16" or 150-199 Square Inches |
$122.90 |
| 13" x 16", 14" x 17", 15" x 18" or 200-299 Square Inches |
$165.90 |
| Over 300 Square Inches – Largest document that we can process is 17" x 21" |
$278.90 |
Shipping – We ship via United Parcel Service. Add $25.00 for the first Mirro-Plaque and $12.50 for each additional one.
Additional shipping chargers will apply to orders going to Alaska and Hawaii
Please allow 3 weeks after your document(s) have been received for delivery.