mailbox   Order Form   mailbox
If you are ready to make your Postal Pizzazz Purchase please fill out the following form:
Name:   First
Middle Last
Address:   Street City Country
Home Phone# Work Phone# E-mail address
This Mailbox is for:
The address that should go on the mailbox is:
Mailbox Style: Mailbox Material:
Quantity: If you are ordering more than one mailbox do you want them:
All the "same"(No two mailboxes will be exactly the same, as each one is hand made and wil have its own unique flare.)
OR
All different (In which case I ask you to fill out a separate order form for each mailbox)
MAILBOX DESIGN
Please Select ONE:

It's all up to YOU! Please Create a mailbox fit for ME based on the questionnaire I filled out.
Using my questionnaire as a guide I want you to follow the general theme/specifications that I include in the box below (ie. sports, hobbies,fun designs).
In the box provided I have given you a complete description of what I want.

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ACCESSORIES
POSTS
Quantity:   Material:   Color: Post Style:
Standard Post Post with Newspaper slot Post with Flower Pot
Post Height(in inches):
COVERS
This Mailbox Cover is for:
The address that should go on the cover is:
Cover Style: Background Color:
Quantity: If you are ordering more than one mailbox cover do you want them:
All the "same"(No two mailbox covers will be exactly the same, as each one is hand made and wil have its own unique flare.)
OR
All different (In which case I ask you to fill out a separate order form for each cover)
MAILBOX COVER DESIGN
Please Select ONE:

It's all up to YOU! Please Create a mailbox cover fit for ME based on the questionnaire I filled out.
Using my questionnaire as a guide I want you to follow the general theme/specifications that I include in the box below (ie. sports, hobbies,fun designs).
In the box provided I have given you a complete description of what I want.

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PRICES
Mailboxes: Unpizzazzed Plain Plastic: $15
Personalized Pizzazzed Plastic: $50
Unpizzazzed Plain Wood: $20
Personalized Pizzazzed Wood: $60
Unpizzazzed Plain Metal: $15
Personalized Pizzazzed Metal: $55
Unpizzazzed Plain Copper: $20
Personalized Pizzazzed Copper: $60
Posts: Standard Plastic: $15
Plastic w/ Newspaper Slot: $20
Plastic w/ Flower Pot: $25
Standard Wood: $15
Wood w/ Newspaper Slot: $25
Wood w/ Flower Pot: $28
Standard Metal: $15
Metal w/ Newspaper Slot: $20
Metal w/ Flower Pot: $25
Standard Copper: $25
Copper w/ Newspaper Slot: $35
Copper w/ Flower Pot: $40
Covers: Solid Color: $5 Personalized with address only $7 Personalized design with address: $25 Set of 4 "Season" Covers $50
Total Price:
Method of Payment:
Card Holder:
Card #:
Expiration Date:
THANK YOU!!!

Hosted by www.Geocities.ws

1