Extreme Custom Engraving

Order Form

Item Styles Available
(see site for all styles)
Finishes Available
(see site for all finishes)
Types
Points Covers Bio Hazard, Confederate, Crown, 
 Flames New Style, Flames Original,
Lucky 13, Round Maltese Cross, Square Maltese Cross, Nuke, Skull
Powder Coated Wrinkled Black
Powder Coated Gloss Black
Bare No Finish Aluminum
5 hole - Twin Cam
2 hole - Evo
Derby Covers 5 hole - Twin Cam
3 hole - Evo
Inspection Covers Confederate, Nuke, Round Maltese Cross, Square Maltese Cross, Skull  4 hole
Oval Type 
Item Style Finish Type Quantity Price Total
             
             
             
             

Print this order form - Fill out and mail to:
Extreme Custom Engraving
11620 North 32nd Ave.
Phoenix, AZ 85029

602
-471-8541 or email: sales@azece.com
Shipping is $6.00 for first $99.00 , $3. per hundred after

(price for continental US only)

Sub Total  
Tax (Az Res.8.6%)  
Shipping  
Total Enclosed  
Ship to:

Please Print All Information Legibly

Name  
Address  
City, State, Zip  
Phone & E-Mail  
Enclosed
(circle one)

Check
order held until cleared

Money Order
order sent on receipt

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