Custom Chandelier Quote Form
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Today's Date
*
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Month
-
Day
Year
Date
Your Phone Number (Needed for shipping. We won't call you unless you ask us to)
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Please enter a valid phone number.
Format: (000) 000-0000.
Would you like us to call you?
Yes
No
Your Address (for shipping cost)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for form
*
I purchased a chandelier on Etsy
I purchased a chandelier on the Shields & Sons website
I would like to purchase
I would like a quote
Order Number on Etsy or Website
*
Which Chandelier are you interested in?
*
Type of chandelier
*
Other Chandelier Number
*
Type of lighting
*
General Lighting
Over a Counter
Over a Table
Ceiling Height in inches or feet (from floor to ceiling) where the light will go
*
Wood Beam Size
Beam Size (H x W, first number is the height, second is width)
*
4"H x 4"W
4"H x 6"W
4"H x 8"W
6"H x 4"W
6"H x 6"W
6"H x 8"W
7"H x 7"W
8"H x 4"W
8"H x 6"W
8"H x 8"W
Other
Other beam size
What size would you like (H x W)
What length would you like the chandelier (in inches or feet)
*
Yokes
Wooden Yoke Length
26"
34"
40"
42"
48"
Sockets
All the standard sockets are included. Deluxe (D) and Special (S) sockets are extra.
Available Sockets (Deluxe are extra) Satin black are standard
*
Socket Types
*
Wiring
Black Standard and Black Twisted Cloth are included in the price. Others are extra.
Wiring Types (CL=Cloth, CL2=two color cloth)
*
Wiring Colors
*
What other Color(s) other than above would you like?
*
Cages
The cages available in any other color (choose Other)
What other Color(s) other than above would you like for your cages?
Wood Beam Color
Like color of original photo
Yes
Choose a color for your beam chandelier
*
Mounting
Mounting Options
*
Chain Type
*
Chain Thickness
*
Chain Color
*
Black
Brass
Antique Brass
Polished Nickel
Brushed Nickel
Antique Brass
Oil Rubbed Bronze
Copper
White
Pulleys
*
Extra Side Lights
Would you like some extra lights on your chandelier? They can be wired with the original sockets or separate from the original sockets.
Extra Side Lights
How many side lights?
Pendants
Pendant Choices
*
Color of shades
Socket Color Choice #
1
2
3
4
5
6
Glass Shade Choice
Write number and letter of your choice
Canopies
*
Canopy Color
Black
Brass
Antique Brass
Polished Nickel
Brushed Nickel
Antique Brass
Oil Rubbed Bronze
Copper
White
Attach any photos you think that we may need.
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Include any other measurements not mentioned before.
To enhance our understanding, please select where you discovered our products:
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Our official website
Etsy
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Do you have a Question?
Alan Shields: You can reach me at anthonyshieldsandsons@gmail.com or by phone at 450-675-4061. If you don't get a confirmation after clicking "Send to Alan", then scroll up and the missing answer will be highlighted in red.
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