Crown Order Form
Quantity
Ship To
Fax
E-mail
PO#
Contact
Sub Total
Utah Sales Tax (.0625)
Shipping
Total
60% due to order
40% COD
Questions & Comments
Date
1
2
3
4
5
6
7
8
9
10
11
12
Pillars Etc
PO Box 732 St. George, UT 84771
888-474-5527 435-688-8310 Fax 866-808-7975 pillarsetc@gmail.com
Customer
Address-2
Phone-1
Company
Address-1
City
State
Zip
Customer
Address
City
State
Zip
Phone-2
Company
Blocks
Lineal Feet
Sq-in
Profile
Total
Sq-ft
Poly
Custom Shape
