|
Name
* |
|
|
Shipping Address Line 1
* |
|
|
Shipping Address Line 2
|
|
|
City
* |
|
|
State
* |
|
|
Zip
* |
|
|
(area code) phone number (for confirmation/questions only-we respect your privacy!)
* |
|
|
Your e-mail address (for confirmation/questions only)
|
|
|
Payment Method (check-we must wait 10 days for personal checks to clear, PayPal, money order)
* |
|
|
Are you sending your picture via U.S. Mail?
* |
Yes No
|
|
Are you sending your picture vie an e-mail attachment? (400dpi, .jpg or .bmp format, original no smaller than 2
* |
Yes No
|
|
Is your picture copyrighted? (If so, you must send a signed copyright release from the photographer, which includes a telephone number.)
* |
Yes No
|
|
Would you like to include a caption on your puzzle?
* |
Yes No
|
|
If so, please type it carefully in this box.
|
|
|
If you have font style, size, and color preferences, please list them here. We can accomodate most standard fonts and colors. If not, we will match them as closely as possible.
|
|
|
Total Puzzle Cost (see Pricing page)
* |
|
|
Sales Tax (7%, Indiana Residents Only)
|
|
|
Shipping/Handling ($2.50 USPS First Class/$5.00 USPS Priority Mail per puzzle in continental US--contact us for shipping of multiple puzzles)
* |
|
|
Your Total
|
|
|
If you are ordering from a paper form or counter display, please enter the three-letter code in the lower right-hand corner.
|
|
|
Comments, Questions, or Special Instructions
|
|
|
How did you find our site?
|
|