Solid Granite
Family Name House
Plaque Order Form
Congratulate your clients on the purchase of their new home
with a quality housewarming gift that will be appreciated for
years to come.
• Made of solid granite with natural stone texture.
• Deeply engraved letters and numbers.
• Three styles to choose from.
•Optional custom logo available (call for details).
1. PLAQUE STYLE (choose only one):
☐ Executive Rect. ☐ Ridgecrest Arch ☐ Rockport Oval
2. GRANITE COLOR (choose only one):
☐ Autumn Leaf Natural ☐ Black Polished ☐ Quartzite
3. LETTER FILL COLOR (choose only one):
☐ Black ☐ G
old ☐ Silver
4. FONT (choose only one):
☐ Clarendon ☐ Times Roman Italic
5. MOUNTING (choose only one):
☐ Wall Mount ☐ Lawn Stakes (call)
6. PERSONALIZATION (specify UPPER/lower case):
Line 1:______________________________________
Line 2: ______________________________________
7. BILLING ADDRESS FOR CREDIT CARD:
Name:______________________________________
Street: ______________________________________
Suite/Apt.#: __________________________________
City: ________________ State: ____ Zip: _________
Phone: ( ______ )_____________________________
8. SHIP-TO ADDRESS (if different than billing):
Name:______________________________________
Street: ______________________________________
Suite/Apt.#: __________________________________
City: ________________ State: ____ Zip: _________
Phone: ( ______ )_____________________________
9. PAYMENT INFORMATION:
Order Total: $_________
☐ MasterCard ☐ Visa ☐ AMEX ☐ Discover
Card #: _______________________ Exp. Date: ______
Signature:________________________ CVV #:______
Fax or mail order to QualArc. Allow 2-3 weeks for delivery.
Executive Rectangle (13" x 7"):
Shown in Autumn Leaf Natural.
Ridgecrest Arch (15" x 7.75"):
Shown in Black Polished; with optional custom logo.
Rockport Oval (15" x 7"):
Shown in Quartzite; with optional aluminum lawn stakes
(LS-4718), 1" wide by 18" long, black.
Granite Colors
Autumn Leaf
Natural
Black
Polished
Quartzite
(color varies)
Toll Free: 888-800-0153
Phone:916-273-1576
Fax:916-635-0228
Web:www.qualarc.com
Email:[email protected]
11300 Trade Center Dr., Ste. A
Rancho Cordova, CA 95742