EAGLE GIFTS GALORE
2707 S. DESERT FOREST AVE., ONTARIO, CA 91761   Voice: (909) 947-6634
Fax: (909) 947-6666 e-Mail:  EagleGiftsGalore@gmail.com     http://www.EagleGiftsGalore.net
DELUXE  THANK  YOU  POEM  PLAQUE  ORDER  FORM

If you are ordering a Deluxe Thank You Poem Plaque, use this form.
To order Photo Poem Plaques, please use the Photo Poem Thank You Poem Plaque Order Form


ORDER  FORM  INSTRUCTIONS
1. Select Plaque Size.      7.Enter your Pack or Troop Number ***     11. Total your order.
2.Select Brass Color.      8Enter your Council Name.***   12.Fill in your contact information.
3.Select Plaque color.*      9. Enter your Personal Message.  13. Fill in payment information.
4. Fill in Date plaque is needed by.    10.Enter Scouts' Names.  14. Print Form.
5.Enter your Background Paper choice. **   (See Background Papers pages.)
6. Select Poem.  (See Thank You Poem Plaques page for poem choices & wording.)


*Some background papers look better in Walnut, some in Black Marble.
If you prefer, we can choose the best plaque color for your background paper choice.
** Most Background papers are 8.5” by 11”. They must be trimmed to fit 10”x 8” and 7”x 5” plaque openings.
Not all background papers are suitable for trimming. Please call for more information.
***This information will help us to determine if your leader has already received the poem you are ordering for him or her.
Use your browser's "Print" feature to print this form, sign it, and Fax or mail it to the address above.

Please do NOT send Credit Card information via eMail.


12” by 15” Deluxe Poem Plaque (with 10” by 8” Poem)        $ 52.95 Each       Shipping and Handling $ 21.00
  9” by 12” Deluxe Poem Plaque (with 7” by 5” Poem)   $ 48.95 Each   Shipping and Handling $ 14.00
California Residents add 7.75 % Sales Tax


PLAQUE INFORMATION
Select Plaque Size:
Select Brass Color:
Select plaque color:
Date plaque is needed by:   - -
POEM INFORMATION
Background Paper:  
Choose a Poem:   Poem
Pack / Troop Number:    
Council Name:  






* * * * * * * * * * * * * * * * * * * * * * * *

Personal Message to be Engraved on Brass Plate
The first line is usually the Leader's Name, and is larger than the other lines..
Scouts' Names are generally listed last, after some kind of "Thank You" message.
(Don't forget your Pack or Troop Number, and the Date of Presentation.)
Line 1    
Line 2    
Line 3    
Line 4    
SCOUTS'   NAMES (Please check for correct spelling.)
Scout 1:           Scout 2:    
Scout 3:           Scout 4:    
Scout 5:           Scout 6:    
Scout 7:           Scout 8:    
More than 8 Scout Names, list on additional page and add $1.00 per name


ORDER   SUMMARY
12” by 15” Poem Plaque     @    $ 52.95   =   $ 52.95
Add'l. Names   @    $ 1.00   = 
Shipping & Handling  @    $ 23.00  =    $ 23.00
Calif. Sales Tax *   @   7.75 %   = 
TOTAL  
9” by 12” Poem Plaque     @    $ 48.95   =   $ 48.95
Add'l. Names   @    $ 1.00   = 
Shipping & Handling  @    $ 16.75  =    $ 16.75
Calif. Sales Tax *   @   7.75 %   = 
TOTAL  
* California Residents only



Billing Address
  Name          
 Address 1    
 Address 2    
 City              
 State                      Zip      
 E-Mail    
    Main Phone Number
   Home       Mobile  
    - -
  Second Phone Number
   Mobile       Work  
    - -

Shipping Address (if different)
We must have a phone number for the shipping address.
  Name          
 Address 1    
 Address 2    
 City              
 State                      Zip      
    Phone Number
    - -

PAYMENT   INFORMATION:
     Check Enclosed      Credit Card      PayPal    
Send PayPal payments to EagleGiftsGalore@gmail.com
 
CREDIT  CARD   INFORMATION:
Name on Credit Card:
First Name Middle Initial Last Name
Please make sure that the Billing Address (above) is where the credit card statement is sent.
  Credit Card Type:      Visa     Mastercard
CREDIT   CARD   NUMBER: EXPIRATION   DATE: SECURITY   CODE:
    (on back of card)
                  
 
 
Signature: ________________________________________________________________________________

Rev. 03-2018