Rock & Water Creations - Monument Division

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Form Instructions
(All information "fields" must be completed
before this form will be sent electronically)

Company Name:
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Name:
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Note: "Memorial Monuments" include a moisture-proof, 240 cubic-inch container
for cremated remains. "Personal Monuments" do not feature a cremains container.

Item	Product Description	Size (W" X L" X H")	Weight	Price	Quantity
RW-150	"Serenity Tree" Memorial Monument	22 x 19 x 14	95 lbs	$450
RW-151	"Serenity Tree" Personal Monument	22 x 19 x 14	85 lbs	$400
RW-160	"Valor Rock" Memorial Monument	29 x 27 x 13	95 lbs	$400
RW-161	"Valor Rock" Memorial Monument w/ 6" Planter	29 x 2 x 13	95 lbs	$400
RW-162	"Valor Rock" Personal Monument	29 x 27 x 13	85 lbs	$350
RW-170	"Honor Rock" Memorial Monument	30 x 26 x 13	95 lbs	$400
RW-171	"Honor Rock" Personal Monument	30 x 26 x 13	85 lbs	$350
RW-180	"Celebration Rock" Memorial Monument	19 x 28 x 12	60 lbs	$319
RW-181	"Celebration Rock" Personal Monument	19 x 28 x 12	50 lbs	$269
RW-182	"Old Grove" Memorial Monuments	21 x 24 x 4	60 lbs	$350
RW-183	"Old Grove" Personal Monuments	21 x 24 x 4	50 lbs	$300
Subtotal:
Shipping (see 'Time Zone' below):
Total:

Shipping Costs, Information--Use the"Time Zone" chart to the left to determine your shipping costs for each monument. E-mail us at info@Rock-n-Water.com or call us weekdays at (805) 524-5600 during normal business hours before ordering if shipping to Hawaii, Alaska, Puerto Rico, Canada or any international destination so we can assist you in calculating your actual costs for those destinations. All orders to addresses in North America are shipped via United Parcel Service (UPS). Please allow 3-4 weeks for delivery of your monument to its final destination.

Pacific: $44.00 each	Central: $50.00
Mountain: $48.00 each	Eastern: $54.00 each

Our standard bronze plaque size will accept a maximum of six lines of text although it's not necessary to use all lines if you prefer to have less text appear on the plaque. The maximum number of characters per line is 53 (each letter, number, space and punctuation is a character that should be counted in this per-line total). Type the text your customer would like to see on their plaque in the space below:

Preview

Disclaimer--By submitting this completed order form, you and your customer hereby acknowledge and agree that Rock & Water Creations, Inc., is not liable for misspellings or errors in fact contained in any information submitted by you. You and your customer also acknowledge and agree that Rock & Water Creations, Inc., reserves the right to determine the style, size and layout of the text you provide according to the plaque space available to ensure the most professional appearance.

If we have already received and approved your credit application, terms are Net 30 days--from the date we receive this order--by company or cashier's check, money order or credit card. A $29 late payment fee will be charged to accounts with unpaid balances over 30 days. Prices subject to change without notice.

We will invoice you at the wholesale price above--plus shipping--upon receipt of this order.

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