Uprights
Company Name
Unveiling / Dedication Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location
Contact E-mail
Name
First Name
Last Name
Granite Color
Please Select
Blue Ridge
Pink Pearl
Eagle Blue
Kershaw
Grey Cloud
Salisbury Pink
Morning Rose
Texas Rose
Medium Barre
American Black
Eagle Black
Dakota Mahogany
Jet Black
Bethel White
Eagle Ruby Red
Blue Pearl
Die Finish
P2
P3
P5
Die Shape
Serp
Flat
Oval
Die Size
Base Finish
PFT, BRP
PFT, Balance Sawn
Other
Base Size
Sandblast/Lettering FRONT
Litho Color
Sandblast/Lettering BACK
Number of Vases Ordering:
Vase Finish
P2
P5
Square Tapered Sizes
5" x 4" x 9"
6" x 6" x 10"
8" x 6" x 12"
Round Turned Sizes
4" x 10"
6" x 10"
8" x 12"
NOTE: Not all colors are available in
Turned Vases
. Any color not in stock may take 4 to 6 months.
Additional Comment(s) for Order
Submit Order
Clear Form
Print Form
Eagle Sales Representative
Please Select
Kevin Brown
Sanford Butler
Brenda Robertson
Stewart Cone
Stacy Hover
Should be Empty: