<%@ Page Language="VB" MasterPageFile="~/grfxp.master" AutoEventWireup="false" CodeFile="co.aspx.vb" Inherits="co" title="Grafixpressions: Custom Orders" %> <%@ Register Assembly="System.Web.Extensions, Version=1.0.61025.0, Culture=neutral, PublicKeyToken=31bf3856ad364e35" Namespace="System.Web.UI" TagPrefix="asp" %> <%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="cc1" %>

This form is used only when requesting a custom order from GrafiXpressions. Please fill out all information fields. GrafiXpressions will respond within 2-5 business days with a quote and timeframe. If this is a rush order, please make sure to check the “Rush” field.

Customer Information
	Name:
	Street Address:
	Street Address 2:
	City:
	State:
	Zip Code:
	Phone Number:
	Email Address: Important: Quote will be sent here!
	Verify Email Address:

Describe The Sticker
	Describe your request: (please be specific)
	Estimated Sticker Height:	(in inches)
	Estimated Sticker Width:	(in inches)
	Quantity:
	Color(s):
	Number of Colors Per Sticker:
	Rush Order?

Upload an Image
	If you have images of your design, please upload them here:	Max 5MB file size! Max 5MB file size! Max 5MB file size! Max 5MB file size! ** Max 5MB file size!

Comments and Legal Agreement
	Additional Information: (or special instructions)
	Legal Agreement: (required)	By submitting this form you agree to the User Rights Agreement on http://www.grafixpressions.com/legal.shtml and take full ownership and responsibility for the submitted image\design. Grafixpressions will not quote, respond, or discuss any custom request without this box being checked. For questions, email sales@grafixpressions.com