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Print this page out and fill it in by circling the choices you want and then mail your order form along with your payment to  Chandas

Print this page out and fill it in by circling the choices you want and then mail your order form along with your payment to 
Chandas Corporation
4800 Curtis Dearborn, MI 48126
(If  you want to Order more than one please print out the number of them you would like)

Your Information

Name:__________________________________________________________________

Address:________________________________________________________________

Phone Number:___________________________________________________________

E - mail address:__________________________________________________________

 

Shipping Information
(Where do you want us to ship the product? If same as above just leave blank)

Name:__________________________________________________________________

Address:________________________________________________________________

 

Family Name History Coupled With Coat of Arms Order Form

Circle which one you would like  

 

Family Last Name you want on the Product ______________________________
               (Required)

1.                Color         (The Back ground Matting)

 

A. Rust (Red)                              B. Blue                          C. Green

 

D. Black

 

2.                Coat of Arms

 

A. Oval                                   B. Rectangle

 

3.                What type of Decoration do you want around the Coat of Arms

 

A. Medieval Knights                B. Majestic Lions          C. Classic

 

D. Unicorns                              E. Fairmades

 

4.      A. Framed                                    B. Unframed

 

5.      Type of Frame (If you want it framed fill this in)

 

A.          Cherry Wood Frame                             B. Lord Frame

 

C.          Classic Gold Frame