NAME:

COMPANY:

EMAIL:

FAX:

SHIP TO ZIP CODE:

REFERENCE:

QUANTITY:

SIZE (w" x h"):

MATERIAL: Bronze Aluminum

BACKGROUND TEXTURE: Leatherette Pebbled Travertine Sculptured

BACKGROUND FINISH (1 color):

CLEAR COATING:

Gloss Diamond Shield (exterior) Semigloss Laquer

MOUNTING METHOD: Concealed Studs Machine Screws Toggle Bolts Wood Screws

SPECIAL DECOR - (Please select any of the boxes below if you would like a Photograph, Portrait or a Multicolor Plaque to be attached to the cast plaque, explain below):

Etched Halftone Bas Reliefs

Color Photograph Metal Photo

2 or More Color Plaque

LAYOUT INSTRUCTIONS (proof will submitted prior to production):

Let FPP design layout Use my own artwork

LOGOS (Logos must be in black & white version unless you are ordering a two or more color plaque):

I will like to include my logo

Please email artwork or questions to graphics@futurepkg.com. Please refer to artwork requirements section. Files that do not meet our requirements will incur extra charges.

INSCRIPTIONS, INSTRUCTIONS AND DETAILS: