If you would like to pay for an order by check or money order, please use this form.   The form
may be printed, filled in, and mailed to us along with your payment.  If sent by fax, please be
sure to mail your payment promptly to avoid delays in processing your order.   All checks and
money orders will be held for clearance before work is started on the order.

Quan.
Plaque Style
Price Ea.
Date to be Shown
Total Price
 
Traditional
 BLUE        GREEN
RED          BRONZE
$89.00
       
$
 
Century
$129.00
       
$
 
Legacy
Enter up to 17 characters to be displayed below date:
                                 
$149.00
       
$
 
Craftsman Bungalow
Title- Enter up to 17 characters to be displayed below date:
                                 
Text - Enter up to 2 lines of 24 characters each to be displayed below title:
                                               
                                               
$179.00
       
$
 
Craftsman Bungalow Provenance
Title- Enter up to 17 characters to be displayed below date:
                                 
Text - Enter up to 200 characters to be displayed below title:
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
                                                 
$189.00
       
$
Order Sub-Total
$
Idaho Residents Add 6% Sales Tax
$
Shipping - $11.95 each within the U.S.
(International and multiple orders contact us)
 $
Purchase Total
$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name  
Address  
City  
State   Zip Code  
Telephone   Fax  
E-Mail  
Shipping To: (If Different from Above)
This item is a gift
Name  
Address  
City  
State   Zip Code  

 

 

 

 

 

 

 

 

Mail to: Landmark Impressions, PO Box 7903, Boise, ID 83707   Or Fax to: (208) 336-7111