2017 Product Catalog

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

Contact Name:

Facility Name:

Customer #:

Color Selection (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:

Backplate Color (Marquis Style Only: Gold, Silver, or Copper):

Mounting:

3 / 4 "

Character Height (select one):

1" Other:

Raised Letters (select one):

Yes

No Other:

Text Alignment (select one):

Left

Center

Right Text Color:

All Capital Letters (select one):

Yes

No

Braille (select one):

Yes No

The space below is left blank for you to write out the exact text. Text will be engraved exactly as listed on this form.

Customer Signature:

Date:

269

online: www.cresthealthcare.com | 2017 | R15