JW House Commemorative Tile Order Form
Become a permanent part of JW House & cement your legacy!
Tile Selection:
*Orders may take up to 3 months for completion.
Choose your Engraved Tile size:
*
Small Tile (8.5" x 8.5") - $1000
Large Tile (17.5" x 17.5") - $2000
Engraving Details:
*Characters are finalized upon form submission.
Line 1:
Maximum of 16 Characters Per Line
Line 2:
Maximum of 16 Characters Per Line
Line 3:
Maximum of 16 Characters Per Line
Line 1:
Maximum of 25 Characters Per Line
Line 2:
Maximum of 25 Characters Per Line
Line 3:
Maximum of 25 Characters Per Line
Line 4:
Maximum of 25 Characters Per Line
Line 5:
Maximum of 25 Characters Per Line
Contact Information:
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Order Summary:
My Products
*
prev
next
( X )
Engraved Small Tile
(8.5" x 8.5")
$
1,000.00
Quantity
1
Engraved Large Tile
(17.5" x 17.5")
$
2,000.00
Quantity
1
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Submit
Should be Empty: