Order Form for Dies and Bases  

 
Company Name: Street Address
City State
Zip Code Phone Number
   
Ship To:
 
Granite Color:
   
Die Size: x x
Quanity:
   
Finish: Pol 2   Pol 3   Pol 5   Steel 2   Steel 3   Steel 5
   
Shape of Top: Serp   Oval   Straight
Per Design #:  enter design #
Per Rubbing:  how will you send it?
Other:  other options
   
Carving? Yes   No
Per Design #:  enter design #
Per Rubbing:  how will you send it?
Per Photo:  how will you send it?
   
Letter Style:  
Per Design #:  enter design #
Per Rubbing:  how will you send it?
Per Photo:  how will you send it?
Other:  other options
   
Family Name on Back? Yes   No
In polish? Yes   No
If in panel, type of panel:
   
Litho? Yes   No
Color: Black   Gray     Other:
   
Base Size: x x
Quanity:
   
Finish: Pol Top  Steel Top Rock Sides Pol Sides
  Steeled Sides     Other:
   
Vase Size: x x
Quanity:
   
Finish: Pol 2   Pol 5     Other:
   
Please type below the exact position of lettering and emblems (if any) as they will appear on the monument:
 
 

Copyright 1999 Everlasting Granite Co., Inc.
Problems, comments, feedback,
All rights reserved
Please Contact Us.