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Montage Order Form - matthewsbronze.com

Company Name DateAddressCit y State Zip CodeTelephoneCustomer NumberMontage Order FormMatthews Br onze Email: West Liberty Avenue Pittsburgh, PA 15226 1-888-838-8890 Fax 412/571-5514 2014 Matthews International CorporationMATTHEWS USE ONLYCUSTOMER NUMBERP ersonalizationPlease type name, dates and epitaph. CP-0315-2013 Due to the na ture of this pr oduct, st andard emblems are not available. Drawings for approval will be pr ovided. Above specific ations and inscription have been reviewed and approved for Approval: Date:Telephone Number: ( ) e-mail:Representative:Photographs (Pl ease read guidelines for ph ot ographs on reverse side.)Size # Photos Permitted 16" x 24" 6 photos 24" x 12" 6 photos (non-vase only) 24" x 14" 6 photos 24" x 30" 8 photos 28" x 16" 6 photos 36" x 13" 8 photos (non-vase only) 44" x 14" 8 photos 56" x 16" 8 photos 60" x 20" 8 photos 32" x 72" unlimited photos Keepsak e* 1 Photo (separat e charge)Type Wit h Integral Vase Non-Vase Separat e Vase AssemblyLett erstyle ROMAN (FLAT FACE) Optima Chancery Antiq ue Finish Full Color (additional charge) Border Wo

Company Name Date Address City State Zip Code Telephone Customer P.O. Number Montage Order Form Matthews Bronze Email: lmorderdesk@matw.com 1315 West Liberty Avenue Pittsburgh, PA 15226 • 1-888-838-8890 • Fax 412/571-5514

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