Custom Shadow Box Form
Name
*
First Name
Last Name
Valid Email Address
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Shipping Or Pick-Up
*
Please Select
Pick Up
Shipping
Pick up is only available for those local to Oahu, HI
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How did you hear about us?
*
Please Select
Instagram
Facebook
TikTok
Word of Mouth
Other
Preferred Payment Method
Please Select
Card
Cash
Split card payment (Must save card on file)
All payments made in full unless card is saved on file.
Rush Order?
*
Please Select
No
Yes
Rush Orders are considered less than 21 days.
Requested Completion Date
*
-
Month
-
Day
Year
Please add the date you would like the plaque in your hands. This assumes the evening of the chosen date
Event Date
*
-
Month
-
Day
Year
If known, please add the date that the person will be receiving the plaque
Frame Finish
*
Please Select
Black
Early American Stain
Dark Brown Stain
Natural Oak
Fabric Background
*
Please Select
Red Felt
Blue Felt
Black Felt
Grey Felt
USMC Woodland
USMC Desert
Flag(s) Y/N
*
Yes
No
Flag Amount
*
Please Select
N/A
1
2
Flag(s) Type
American Flag
Marine Corps Flag
Navy Flag
Air Force Flag
Army Flag
Other
Detailed Information
*
Please be very descriptive about the concept of your shadow box and make sure to include all key details that are must-haves.
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Upload Sketch, *Write-up (in Word Document), and Logo images
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of
Submit
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