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For Dealer Use Only
Customer Code
Dealer Number
Dealer Name
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
Fax
Email
*
Purchase Order No.
Drop Ship Information
Consumer Name
Consumer Phone
Address
Consumer Drop-Ship Information (Do not use P.O. Box.)
Street Address
Apt #
City
State / Province / Region
ZIP / Postal Code
1. Item Code
(Refer to literature for 4- or 5-digit item code.)
2. Item Description
Name/Style
3. Quantity
For Personalized items, please also complete steps 4 -8
4. Plaque Size (if applicable):
Estate
Standard
Petite
5. Mounting (if applicable):
Wall
Lawn
5. Color Code
(Refer to literature for choices and 2- or 4-digit color code.)
Color Name:
Monogram Initial
(for Monogram Plaques ONLY, or leave blank for scroll design)
7. Personalization
Important:
Personalization options vary. Please refer to the literature for details on the number of spaces, and numbers and/or characters available on your item.
Line 1:
Line 2:
Line 3:
8. Mailbox/Post Sign Ornament Code
(If applicable. Refer to literature for 4-digit code.)
8b. Mailbox/Post Sign Ornament Code
Color
Black
Ornament Name:
9. Special Instructions
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Plaques & Signs
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All Plaques
Architectural Plaques
Nite Bright
Numbers & Letters
Plaque Lighting
Statement Plaques
Stonework Address Plaques
Quote Plaques
Vertical Plaques
Home & Garden
▼
Bells
Bird Baths
Bird Feeders
Hooks & Hangers
Hose Holders
Sundials
Weathervanes
Welcome Mats
Mailboxes
▼
All Mailboxes
Balmoral Mailbox
Colonial
Capitol Mailbox
Multi Mailbox Packages
Wall Mailbox
Collections
▼
Best Selling Plaques
Mailboxes
Brew Pub Collection
Clocks & Thermometers
Commercial Collection
Décor & Accents
Fast and Easy
Garden Collection
Holiday Collection
Irish Collection
Nautical Collection
Neohaus Collection
Party Plaque Collection
Pet Collection
Personalized Plaques
Personalized Crocks
Wedding or Anniversary Collection
Quick Ship
Signature Collection
About Us
▼
MRF Compliance Information
About Whitehall Products
Contact Us
Media
▼
Instruction Sheets
Videos
Dealer Center
▼
Become A Dealer
eAccount Sign In
Request Information
Order Form
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Plaques & Signs
All Plaques
Architectural Plaques
Nite Bright
Numbers & Letters
Plaque Lighting
Statement Plaques
Stonework Address Plaques
Quote Plaques
Vertical Plaques
Home & Garden
Bells
Bird Baths
Bird Feeders
Hooks & Hangers
Hose Holders
Sundials
Weathervanes
Welcome Mats
Mailboxes
All Mailboxes
Balmoral Mailbox
Colonial
Capitol Mailbox
Multi Mailbox Packages
Wall Mailbox
Collections
Best Selling Plaques
Mailboxes
Brew Pub Collection
Clocks & Thermometers
Commercial Collection
Décor & Accents
Fast and Easy
Garden Collection
Holiday Collection
Irish Collection
Nautical Collection
Neohaus Collection
Party Plaque Collection
Pet Collection
Personalized Plaques
Personalized Crocks
Wedding or Anniversary Collection
Quick Ship
Signature Collection
About Us
MRF Compliance Information
About Whitehall Products
Contact Us
Media
Instruction Sheets
Videos
Dealer Center
Become A Dealer
eAccount Sign In
Request Information
Order Form
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