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Mail to: DesignCutters   840 Gerald Ave   South Elgin  IL   60177

DELIVERY TIME: We ship USPS Priority Mail within 14 working days after receiving your order
WHEN do you need these by?___________________________________
Your E-mail address:__________________________________________________________________
Name:_________________________________________ Company:____________________________
Address:_____________________________________________________________________________
City:________________________________________ State:______ ZIP:_________________________
Phone: __________________________ How did you hear about us?__________________________

Custom centerpiece examples - indicate what style you like below:
All designs come unpainted so you can decorate them however you like.
Painting/glittering available from DesignCutters.com at additional cost

I want my centerpiece to read:_____________________________
( 8 character limit per design - email first if you need more than 8 characters)

Please send me unpainted, CUSTOM NAME centerpieces:
  1 with a base, $27.00 INCLUDING PACKING/SHIPPING                               _______________
  2 to 12 each with a base, $17.00 EACH INCLUDING PACKING/SHIPPING    _______________
  13 to 24 each with a base, $15.00 EACH INCLUDING PACKING/SHIPPING  _______________
  25 to 48 each with a base, $12.00 EACH INCLUDING PACKING/SHIPPING  _______________
Discounts above are for quantities of IDENTICAL designs.
  I have enclosed a check or money order for _______________

Do you need your centerpieces shipped to a DIFFERENT address?
NAME:________________________________________
ADDRESS:______________________________________________________________
CITY:______________________________________ STATE:____ ZIP CODE:_______________