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Lid / Shelf Order Form

Make checks payable to "Alpine Engraving & Embroidery".
Please make sure all required fields (marked with *) are filled in.

Order Information
   
This order is a... New Order
Update to an Existing Order
   
  Check if Address has Changed
   

Name*

   
Customers, are you a:
Basket Collector
Longaberger Title:
Henn Title:
Other:
E-Mail Address*:  
Shipping Address*:  
City*:  
State*:  
Zip Code*:  
Phone Number (Day)*:  
Phone Number (Evening):  
   
Date Items Needed By*:  
  Note: Please give the date you want them "In Hand", not the date of the event or awards) (If less than 1 weeks notice there will be a 25% rush fee (or a minimum of $6.00) added. If less than two weeks notice we will have to use alternative shipping to meet your due date. Please contact us to make arrangements.
   
Payment Method:
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Lid Batch 1  
   
Lid for Which Basket?
Quantity:
   
Lid Type?

Plain
Laser Engraved         If Engraved, Graphic Choice

   
What Finish?

Classic
Soft Brown
   
Comments:
   
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Lid Batch 2  
   
Lid for Which Basket?
Quantity:
   
Lid Type?

Plain
Laser Engraved         If Engraved, Graphic Choice

   
What Finish?

Classic
Soft Brown
   
Comments:
   
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Lid Batch 3  
   
Lid for Which Basket?
Quantity:
   
Lid Type?

Plain
Laser Engraved         If Engraved, Graphic Choice

   
What Finish?

Classic
Soft Brown
   
Comments:
   
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Lid Batch 4  
   
Lid for Which Basket?
Quantity:
   
Lid Type?

Plain
Laser Engraved         If Engraved, Graphic Choice

   
What Finish?

Classic
Soft Brown
   
Comments:
   
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  I have reviewed my order and am ready to finalize it
      (check this box before hitting "Send Order" below)