REQUEST FOR A SAMPLE FORM
Here, take a few home for the kids.
TODAY'S DATE :
*
/
Month
/
Day
Year
Submission Date
FULL NAME :
*
First Name
Last Name
COMPANY NAME :
Full Name or Company Name, not Required
EMAIL :
*
example@example.com
PHONE NUMBER :
Please enter a valid phone number.
SHIPPING ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DO YOU HAVE AN IDEA OF WHAT YOU ARE LOOKING FOR?
I KNOW EXACTLY - AND I WANT YOU GUYS!
I KNOW, BUT I'M SHOPPING AROUND.
I KNOW A COUPLE SPECIFICS.
WAITING ON HIGHER UPS TO MAKE DECISIONS.
NOT REALLY - JUST STARTING TO INQUIRE.
ALL I KNOW IS I NEED SWITCHPLATES! HELP!
WHO IS PROVIDING MATERIALS :
Please Select
YOU ARE, LASER PEOPLE!
I, THE CLIENT AM!
NOT SURE YET
MATERIAL OF PLATES :
Please Select
NYLON/PLASTIC - PAINT FILLED
STAINLESS - PERMANENT BLACK LASER MARK
STAINLESS - DEEP ETCHED - PAINT FILLED
ALUMINUM
PAINTED STEEL
MIXED
OTHER
BRAND/MANUFACTURER OF PLATES :
Please Select
HUBBEL
LEVITON
PASS & SEYMOUR
EATON
COOPER
MULBERRY
LUTRON
OTHER
NOT SURE
HOW MANY LINES OF INFORMATION WILL YOUR PLATES NEED? .
QUANTITY :
EX : 50 - 100 or 5,025 or 673
TELL US ABOUT YOUR PROJECT!
*
Please Be Specific
DATE YOU NEED FINAL JOB BY:
*
/
Month
/
Day
Year
MULTI - IMAGE/FILE UPLOADER
Browse Files
Drag and drop files here
Choose a file
LOGO's - Size Reference Images - Etc
Cancel
of
ARE YOU A HUMAN BEING??
*
KEEP AN EYE ON YOUR EMAIL, OUR REPLY MAIL TENDS TO GO TO SPAM/JUNK FOLDERS.
NOW, LET'S GET ROLLING ON YOUR ARTISANALLY CUSTOMIZED SWITCH PLATES.
Submit
Should be Empty: