Customer Order Form

Customer Order Form

Provide your contact details and upload images for your order.
Welcome to Everything Themed Clocks! Upload your favorite photo and we'll transform it into a unique custom clock design. Complete the form below and we'll contact you with a proof before production begins.
Would you like a proof before printing?
Facebook Profile Name
Target Completion Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I understand pricing is $60 for either a 10 inch round wall clock or an approximately 8 to 9 inch desktop clock, depending on the design, and that I will receive a proof before production begins.
Full Name

First NameLast Name
Email Address
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Shipping Address (if applicable)

Street Address

Street Address Line 2
CityProvincePostal
Upload Images for Your Order

Images must be clear and face forward.
Cancelof
Clock Type
Personalization Text (4 word maximum) for clocks and (25 word maximum) for lamps.
Special Instructions
How did you hear about us?
Pricing and proof acknowledgment
Should be Empty:

Welcome to Everything Themed Clocks! Upload your favorite photo and we'll transform it into a unique custom clock design. Complete the form below and we'll contact you with a proof before production begins.