Ornament Order Form

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You can call in an order, or fax or mail this form to place an order. If you have any question

or need help filling out the form, please call.

Phone: 605-665-2621

Address: Countryside Mfg. Inc.

30793 435th Ave.

Yankton, SD 57078

Name:_______________________________________________________________

Shipping Address:______________________________________________________

______________________________________________________

E-mail:______________________________________________________________

Daytime Phone: _______________________________

Payment Method:

Check_______ Money Order or Certified Check________ Credit Card________ PayPal_________

Credit Card Type: (Circle One) VISA MASTERCARD DISCOVER

Number:___________________________________ Exp. Date______________

Security Code - The last 3 digits in or close to the signature strip on back of card ___________

Name on card:______________________________________

Billing address of credit card if different from above:_________________________________________________

__________________________________________________

*All information will remain confidential and will not be given or sold to any other companies.

For logos, custom, and photo designs, please include any special instructions below:

Photographs are not damaged and will be returned with the order. The photograph should have good contrast and be in focus. The subject(s) should not be too close to the edges of the photo. Please state whether you want the whole picture used or what part you want to zoom in on. Keep in mind the size and shape of the ornament before choosing your photo, some cropping will occur in order to fit the photo to the glass. If you have any questions about the usability of the photo, please contact us. You will be notified of any problems with the supplied photo before any work is started. We are not responsible for damage in shipping. We suggest you sandwich your photograph in cardboard before mailing. If the photo is irreplaceable, you will probably want to use a tracking number on it, or have it scanned and email it to us.

Digital photographs can be e-mailed to cmi@laser-etch.com or sent on disk. To send, attach the digital photo to an email. If possible, don't open and resave it, send the original image. Every time a jpeg is re-saved, the quality decreases. The higher the quality, the better the final result will be. If you are scanning in a photo, the minimum setting should be 300- 500 dots per inch if the picture is the same size or larger than the ornament. If the photograph is smaller than the final product, please use as large a dpi setting as possible and still be able to send it. The image can be saved as a grayscale for glass ornaments. If saving as a " jpeg", please use minimum compression/ maximum quality. If you have any questions, please call. Digital photos from movie cameras are often too compressed or at a low resolution and will not give good results. If we have any doubts about the photo you send you will be contacted before use it.

Extra editing on the photograph, such as removing the background or combining photos, can be done for an additional fee. Call or email for pricing.

We reserve the right to refuse orders using photographs we decide are inappropriate.

Etched Glass Ornament Shapes: Indicate 1st & 2nd Choice - some designs or photos won't work on all shapes

1/8" Clear Glass with beveled edge:		These shapes are 3/16" thick glass - beveled edge:

3" Round		Octagon
Arch		Hexagon
Teardrop		House
Oval		Arrowhead
Stocking		Square
Bell		Triangle
Tree		Diamond

Heart		4" Round
Clover
Star		3" - Round with Pencil Edge
Cross		3" - Round with Pencil Edge
Moon

These shapes are available mirrored, 1/8" thick with beveled edge:

Octagon
Hexagon
House
Arrowhead
Square
Triangle
Diamond
Clipped Diamond

Full Color Porcelain Ornament Shapes: Indicate 1st & 2nd Choice - some designs or photos won't work on all shapes

These shapes can have images or text on both sides
Round
Heart
Snowflake
Star
These shapes are one-sided
Circle - Openwork Edge
Oval - Lattice Edge
Please choose: Horizontal
Vertical

Text:______________________________

______________________________

Please include where you want text placed and any other special instructions.

You can include a simple sketch showing the layout if you want.

____________________________________________________________________________________

Choose a font from this list for your text. If you prefer a different font, write in the name and we'll

see if we have it available. (Circle One)

Other:____________________

Porcelain Ornament Prices:

1 Side

1 for $18 photo only, $20 for photo & text

2 for $29 (same image, text, and shape)

3 for $39 (same image, text, and shape)

4 for $48 (same image, text, and shape)

Both Sides - Image on Front, Text on Back

$23 each

2 for $38 (same image, text, and shape)

3 for $50 (same image, text, and shape)

4 for $60 (same image, text, and shape)

Both Sides - Images on Front & Back

$33 each

2 for $48 (same images, text, and shape)

3 for $60 (same images, text, and shape)

Glass Ornament Prices:

Quantity:	1	2	3	4-9	10-49	50-99	100+
	Photo, logo, or custom design - includes personalization
Shapes: These are beveled and made from 1/8" thick glass: 3" round, oval, arch, teardrop, heart, star, tree, stocking, bell, clover, moon, cross	Includes set-up fee	Includes set-up fee	Includes set-up fee	1 time set up fee +	1 time set up fee +	1 time set up fee +	1 time set up fee +
	Photo Etched: $45	Photo Etched: $30 each	Photo Etched: $24 each	Photo Etched: $12.00 each	Photo Etched: $10.25 each	Photo Etched: $9.75 each	Photo Etched: $9.25 each
	Text and/or Logo:$36	Text and/or Logo: $21.50 each	Text and/or Logo: $19 each	Text and/or Logo: $8.50 each	Text and/or Logo: $7.25 each	Text and/or Logo: $6.75 each	Text and/or Logo: $6.25 each

These shapes are American Made: The clear ornaments are made from 3/16" thick glass, mirrored are 1/8" thick. (Beveled edge except circle) circle with pencil edge, octagon, hexagon, house, diamond, triangle, square arrowhead, clipped diamond(only available mirrored), also available mirrored	Includes set-up fee	Includes set-up fee	Includes set-up fee	1 time set up fee +	1 time set up fee +	1 time set up fee +	1 time set up fee +
	Photo Etched: $46	Photo Etched: $31 each	Photo Etched: $25.50 each	Photo Etched: $13.00 each	Photo Etched: $11.75 each	Photo Etched: $10.75 each	Photo Etched: $9.95 each
	Text and/or Logo:$37	Text and/or Logo: $23 each	Text and/or Logo: $21 each	Text and/or Logo: $9.50 each	Text and/or Logo: $8.25 each	Text and/or Logo: $7.50 each	Text and/or Logo: $6.95 each

Shape: 4" round
Photo Etched	$53 Includes set-up fee	$38 each Includes set-up fee	$32 each Includes set-up fee	1 time set up fee + $21.75 each	1 time set up fee + $17.75 each	1 time set up fee + $16.50 each	1 time set up fee + $15.25 each
Text and/or Logo	$41 Includes set-up fee	$30 each Includes set-up fee	$25 each Includes set-up fee	1 time set up fee + $15.95 each	1 time set up fee + $10.95 each	1 time set up fee + $9.35 each	1 time set up fee + $8.50 each

Set up fees:

	$20 - text only
	$30 - black & white logo and/or text
	$40 - photo, color logo, or image and/or text

Order Blank:

Ornament:	Quantity	Price	Total





Shipping (Shipping on larger quantites is based on actual ground shipping rates)
Total

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