B Creative Calligraphy Custom Poem Order Form

Please print carefully and clearly! Your poem will be made from the information as it appears on this form! It is extremely important that you fill out all pertinent information to insure that your poem is correct!

Please Choose One:

Unframed Poem
$65.00

 Matted Poem
$85.00

Framed Poem
$115.00

Poem Verse Choice:

Please attach your poem to this page. Prices listed above are approximate only. Please call or email if you have questions.
Color Choice (Please select color scheme for poem and matting)
Frame Choice Please select type of frame, i.e. gold, cherry, oak, etc.)

Personalization (For options 1-2, please indicate how you would like to personalize your poem)

Your Name Phone

Address
Email
Date Order to be received (DO NOT PUT ASAP!!!! Orders with ASAP as a delivery date will be placed at the bottom of the work pile. We need a date:

Circle One: CHECK VISA MASTERCARD
Card Number/Exp. Date/3 digit Security Code (REQUIRED):

Cardholder Name/Billing Address/Phone Number (REQUIRED):

Please Charge (circle one): 50% now/50% at shipping OR 100% of order now

Subtotal

  

If framing is ordered, add $20.00 here for shipping/handling

  

MD residents add 5% MD Sales Tax

  

 Total

  
Once we receive your order and payment, we will start processing your order. Payment: Visa, Mastercard, personal check, cash or money order accepted. (There is a $25 returned check fee).

B Creative Calligraphy
900 Stone Road, Westminster, MD 21158, 410-857-7616

All information listed ©2006 B Creative