Crest 2016 Product Catalog No Prices

Sign Order Form

Crest Custom Sign Order Form

CONTACT INFORMATION

Please fill out the attached form and fax to Crest Customer Relations at 1-800-369-9207 or email to customerservice@cresthealthcare.com. Crest will create a quote for your custom product and contact you back as quickly as possible.

Contact Name:

Facility Name:

Please note that custom curtains are not cancellable and non-returnable. Please ensure accuracy when placing your order.

Customer #:

Color Options (Visit our website at www.cresthealthcare.com /productguides.asp to see color options or call Crest Customer Relations at 1-800-328-8908 for free color samples.)

Phone: __________________________ Fax: ___________________________

Email:

Preferred Contact Method: Email Fax

Part Number:

Quantity:

Size:

Height

Width

Surface Color:

Mounting:

3 / 4 "

Character Height (select one):

1"

Other

Raised Letters (select one):

Yes

No

Other

Text Allignment (select one):

Left

Center

Right

Text Color:

All Capital Letters (select one):

Yes

No

Braille (select one):

Yes

No

Content: (Text will be engraved exactly as listed on this form)

Customer Signature:

Date:

275

phone: 1-800-328-8908 | fax: 1-800-369-9207 | online: www.cresthealthcare.com | 2016 | R10