Laser Engraving Express Order Form
Complete the information and enclose with your item. Please enclose a separate form for each item sent.
Name ______________________________________________________________________
Address _____________________________________________________________________
City_________________________ State______________________ Zip__________________
Telephone Number(s) (______)____________________ (____)_________________________
Email address________________________________________________________________
1. Describe engraving one letter per blank (use as many blanks as you need)
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2. Circle one font only below. Select: ALL UPPERCASE ___ or Upper and Lowercase ____
3. Minimum price $40.00 for 15 characters, thereafter $1.00 per character. Hebrew or Greek lettering is $20 additional. Other languages, please call for an estimate. (1-800-652-7237)
USPS Certified shipping FREE. For insurance please add $10.00.
For overnight delivery with insurance add $25.00
| Minimum charge (15 characters) | $ 40.00 |
| _____ Additional letters @ $1.00 per letter | $______________ |
| Engraving on outside of ring (surcharge) | $10.00 |
| Hebrew or Greek characters (surcharge) | $20.00 |
| Certified Shipping | Free |
| Subtotal | $______________ |
| California Residence please add 9.75% sales tax based on subtotal |
$______________ |
| Additional Insurance: $10.00 | $______________ |
| Overnight Shipping: $25.00 | $______________ |
| TOTAL | $______________ |
Payment Details
We accept checks and money orders. No orders shipped prior to checks cashed.
Make checks and M.O. payable to L.A.D.F.
For Credit Card payments please complete the details below:
Type of card: VISA______ M/CARD______ DISCOVER_____
Full Name on Card: _____________________________________
Card Number: _______________________________________
Expiration date: _____________ Security code (3 digit code on back of card):______
Credit card billing address (if different from shipping address above):
Address_____________________________________________________________________
City_________________________ State______________________ Zip__________________
We accept checks and money orders. No orders shipped prior to checks cashed.
Make checks and M.O. payable to L.A.D.F.
For Credit Card payments please complete the details below:
Type of card: VISA______ M/CARD______ DISCOVER_____
Full Name on Card: _____________________________________
Card Number: _______________________________________
Expiration date: _____________ Security code (3 digit code on back of card):______
Credit card billing address (if different from shipping address above):
Address_____________________________________________________________________
City_________________________ State______________________ Zip__________________
Disclaimer: Any and ALL items supplied by the customer to be engraved will be subject to A FOCUSED LASER BEAM, thus the exact reaction the material(s) involved may or may not have can not be exactly calculated. Laser Engraving Express offers no responsibility for items damaged due to act of God, improper shipping, OR chemical reaction with the laser beam. Customers are informed of the inherent risks of laser engraving. While Laser Engraving Express has perfected the art of laser engraving, damage may occur and, in extreme cases, the item in question may be irreparable.
Please initial that you have read the disclaimer. ___________
Please send item/s and completed form(s) to (you can cut this out and use as a mailing label):
Laser Engraving Express
607 S. Hill Street, Suite 302
Los Angeles, CA 90014
607 S. Hill Street, Suite 302
Los Angeles, CA 90014
