Pillars Order Form
Quantity
Top Profile
Base Profile
Height
Width
Price
Smooth 25%
Paint 15%
Stucco 20%
Stone 35%
Color
Total
Ship To
Fax
E-mail
PO#
Contact
Sub Total
Utah Sales Tax (.0625)
Shipping
Total
60% due to order
40% COD
Questions & Comments
20%
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 mail@pillarsetc.com
Customer
Address-2
Phone-1
Company
Address-1
City
State
Zip
Customer
Address
City
State
Zip
Phone-2
Company
1- Color
2- Color
3- Color
4- Color
Custom Shape
Flutes
Spiral
Joiints