Laminated Plaques Order Form

Print and fill out this order form. Mail with your document(s).
Please remember to protect your document(s) between stiff cardboard or other protective shipping material.

Send to:
Docu-Seal
337 W. Cerritos Ave.
Glendale, CA 91204
Phone - 818-550-9144
Fax - 818-550-9126
info@docu-seal.com

ORDER FORM
Name__________________________________________________________________

Organization Name_______________________________________________________

Address________________________________________________________________

City, State, Zip___________________________________________________________

Phone____________________________ Email________________________________

We will confirm receipt of your documents by e-mail

Credit Card Type (circle one): Master Card  /  Visa  /  American Express

Card Number ______________________________________________

Exp. Date ___________________ CVV2 Code _____________________
CVV2 code is 3 numbers from back (Visa/MC) or 4 numbers from front of card (Amex)

Shipping Information (if different than above)
_____________________________________________________

_____________________________________________________

_____________________________________________________

___________________________________________________

_____________________________________________________

Please list your plaque selections below using the following options:

Wood Grains

Walnut

Teak

Oak

Solid Colors

Black

White

Red

Dark Blue

Yellow

Orange

Brown

Finishes
Gloss or Satin

Quantity Document
Size
Wood Grain
or Color
Satn or
Gloss Finish
Price
         
         
         
         
         

Sales Tax (CA) residents add local sales tax _____________
UPS Shipping ______________
Total ______________

Price List

Document or Photo Measures……. Price
3" x 5", 4" x 6" or 0-25 Square Inches $47.90
5" x 7", 6" x 8", 7" x 9" or 26-70 Square Inches $56.90
8" x 10", 8-1/2" x 11", 8" x 12" or 71-99 Square Inches $60.90
9" x 12", 10" x 13", 11" x 13" or 100-149 Square Inches $73.90
11" x 14", 12" x 15", 12" x 16" or 150-199 Square Inches $83.90
13" x 16", 14" x 17", 15" x 18" or 200-299 Square Inches $124.90
Over 300 Square Inches – Largest document that we can process is 17" x 21" $227.90

Shipping – We ship via United Parcel Service. Add $12.50 for the first Mirro-Plaque and $5.00 for each additional one.
Additional shipping chargers will apply to orders going to Alaska and Hawaii

Please allow 2 weeks after your document(s) have been received for delivery.

Docu-Seal
337 W. Cerritos Ave.
Glendale, CA 91204
Phone - 818-550-9144
Fax - 818-550-9126
e-mail - info@docu-seal.com