Customer Name:
Telephone:
Address:
email address:
City:
State & Zipcode:
Are you using a Gift certificate?
If so, leave the 'Fees' section blank.
                           
1. Pick one category for your Illuminated Letter
                               1 or 2 Letters:

                               1 or 2 Numbers

                               A decorative border::
                               
2. Is this for a special occasion - birthday, anniversary, wedding, etc.?
                             
3. Will you send photos of people, pets, scenery to be included in the Illuminated Letter?
Photos can be sent online to info@richhoursart.com or mailed to the address below.
                           
4. Do you favor any particular colors? Describe
                           
5. Would you like a date included in the design? Date
                         
6. Please include any comments to describe what you would like depicted in the Illuminated Letter:
Ship to Customer address:
                         
Ship to a different address:
                         
Recipient Name:
Address:
City:
State & Zipcode:
Fees:        Illuminated Letter in gold/wood frame...........................................................................................

For delivery within New York State - Add NYS Sales Tax...............................................
                                                                                                                                                                           
Shipping and insurance by USPS Priority Mail within the USA.........................................................

Gift wrap and gift card,- add $6.00.................................................................................................
                             
Total:
                       
Message on gift card::
                       
Press the Submit button to submit your order. You will receive an invoice online which can be paid by credit card through Paypal, a secure
payment website.
Please send your photos online to info@richhoursart.com. You may also mail your photos to: Rich Hours Art, 3 Hillside Terrace, Ossining, NY 10562
Your photos will be returned. If you prefer to pay by check, please mention that in the Comments box and mail your check for the total amount to Rich
Hours Art at the above address.
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Order Form
Rich Hours Art Personalized Illuminated Letter
Please give 30 days from order receipt to delivery date!
Mark your choices with an X in the appropriate box.
Please scroll down to complete the entire form, then press Submit
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