Crest Healthcare 2022 Catalog

Sign Order Form

Crest Custom Sign Order Form

Policies & Forms: 266 - 271

Please fill out the attached form and fax to Crest Customer Service 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.

Color Selection Visit our website at www.cresthealthcare.com/resources to see color options. Call Crest Customer Service at 1-800-328-8908 for free color samples.

CONTACT INFORMATION:

Contact Name:_ ___________________________________________________________________________________________________

Facility Name:_____________________________________________________________________________________________________

Customer #:______________________________________________________________________________________________________

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:________________________________________________________________________________________________________

Character Height (select one):

3/4"

1" Other:___________ Raised Letters (select one): Yes

No Other:______

Text Alignment (select one):

Left

Center

Right

Text Color: _______________________________________

All Capital Letters (select one): 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. Yes No Braille (select one): Yes

Customer Signature:_______________________________________________Date:____________________________________________

online: www.cresthealthcare.com | Volume 55

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