Quote Request Form + Bronzes Contractor / Salesperson* Date* MM slash DD slash YYYY Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*FaxWanted Date MM slash DD slash YYYY Type of Request Drawing Only Price Only Both Return Via* Via Email Via Fax Family/Project Name Granite Color* Design # Family Name on the back* Yes No Product to be Quoted*TabletSlantBevelFlat MarkerHiddenTabletTablet Length Tablet Width Tablet Height Tablet Finish Polished 2 Polished 3 Polished 5 Tablet Back Polish Sawed Rustic Tablet Top Serp Flat Oval Tablet NotesHiddenSlantSlant Length Slant Width Slant Height Slant Type Lower Nosing Full Face Slant Finish Polished 1 Polished 2 Polished 3 Polished 5 Slant Back Polish Sawed Rustic Slant Top Serp Flat Oval Slant NotesHiddenBevelBevel Length Bevel Width Bevel Height Bevel Finish Bevel Standard 2" Bevel Bevel NotesHiddenFlat MarkerFlat Marker Length Flat Marker Width Flat Marker Height Sides Rustic Sawed Either Pencil Round Edges Yes No Placement Above Ground Lawn Level Flat Marker NotesBronzesBronze Type Plaque Niche Butterfly Custom Plaque Design Ceres Simplicity (GB-136) Resurrection Polished Bevel Tea Rose Simplicity (GB-403) Fruit of Life Evergreen (GB-72) Maple Leaf Dogwood Evergreen (GB-108) Veterans Match American Hero Bronze Color Dark Brown Light Brown Golden Brown Vet Brown Rose Red Emerald Green Black Premium Arbor Green Premium Biscay Premium Terra Rouge Premium Blue Bell Premium Bella Pink Premium Indigo Blue Premium Juneberry Premium Cardinal Red Letter Style Flat Oval Traditional Size Mounting OptionsDrill 4 Holes and Attach - PlaqueDrill 4 Holes Only - PlaqueDrill 2 Holes Only - NicheDrill 2 Holes Only - NicheBronze NotesBaseBase Length Base Width Base Height Base Finish Base NotesHiddenDuplicateDuplicateYesNoDuplicating CarvingCarving OnlyCarving & SpecsSlant Duplication MeasurementsWidth Upper Nosing at Center Height Lower Nosing Bevel Duplication MeasurementsHeight of Back Height of Front Are Letters to be Darkened? Yes No AttachmentsRough Sketch Drop files here or Select files Accepted file types: jpg, png, pdf, docx, xlsx, jpeg, Max. file size: 5 MB. IMPORTANT: The name of the files can contain ONLY letters and numbers, please do not use symbols. Please attach drawings, pictures, or Monuvision files. When drawing a map please include roads, landmarks, or names of neighboring memorials (mark with an X if possible). Please upload a file with a size less than 5MBMiscellaneous Notes
