Pet Marker Order Form - Print & fill out then Fax or Mail to address below.
Billing Address
Name                                                                        
Address                                                                        
City                                                                        
State                                                                        
Zip                                                                        
Country                                                                        
Phone                                                                        
Email                                                                        
Fax                                                                        
Shipping  Address (if different)
Name                                                                        
Address                                                                        
City                                                                        
State                                                                        
Zip                                                                        
Country                                                                        
Phone                                                                        
Monument  Order Information:                                                             Please include pet name, dates, tributes, etc...
Size

                                 

 Text to be engraved: 
                                                                                                                            
Color                                  
Quantity                                  
Cost
Base monument cost $                             
Add a standard design (add $40) $                            Standard design #                                          .
Add a custom design (add $60) $                            Please attach or email design
Add a color photo (add $195) $                            Please attach or email color photo
Add a b&w photo (add $150) $                            Please attach or email b&w photo
Product Total $                             
Shipping $ 20.00  

TOTAL ORDER AMOUNT

 $                             

Payment Method   or 

Card Holder's Name                                                                                          VIN                       
Card Number                                                                                                       Most cards have a number printed on the signature strip on the back.  The card verification number is the last three digits of it.
Exp. Date:                         month                     year
Card Holder's Signature:                                                                                        Today's Date                               

Thank you for your order!  Please allow 3 to 4 weeks for delivery.
Fergus Falls Monument Company / 1710 Pebble Lake Road / Fergus Falls, MN 56537
phone 218-736-3228 / fax 218-739-6520 / email welle1@prtel.com