Dejay Products (aka Dejaygold)
ORDER FORM
To
order plaques please provide all information and email to:
Name ..Company
Address
.
Tel
#
..Email
Shipping
address if different from above
..
Artist
.Title
.
Name
of Recipient(s)
..
(if
more than two please provide separate list)
Plaque
size; 12x16 14x18 16x20 18x24 20x24 24x36 Other
Design
#
. Status (Gold/Platinum/Multi)
.
..
For RIAA Certified awards state your connection to
the project:
.
Credit
card #
.
Expiration
Date
.. Security Code
.
Billing
address of card
...
.
Please note additional charges will include CD ($23) and shipping
An Estimate
will be sent upon receipt of this Order Form