Prism Sample Pre-Order

Question Title

* 1. Address

Name *

Company *

Street Address (no PO Boxes) *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 2. Is this a residential address?

Yes

No

Question Title

* 3. Please select a quantity next to the design and size samples you would like to order. Currently orders for any sample are limited to a quantity of 3. More samples will be available in September.

	1	2	3
SF255 Willow 4"x6"	SF255 Willow 4"x6" 1	SF255 Willow 4"x6" 2	SF255 Willow 4"x6" 3
SF255 Willow 8"x10"	SF255 Willow 8"x10" 1	SF255 Willow 8"x10" 2	SF255 Willow 8"x10" 3
SF256 Mist 4"x6"	SF256 Mist 4"x6" 1	SF256 Mist 4"x6" 2	SF256 Mist 4"x6" 3
SF256 Mist 8"x10"	SF256 Mist 8"x10" 1	SF256 Mist 8"x10" 2	SF256 Mist 8"x10" 3
SF257 Verde 4"x6"	SF257 Verde 4"x6" 1	SF257 Verde 4"x6" 2	SF257 Verde 4"x6" 3
SF257 Verde 8"x10"	SF257 Verde 8"x10" 1	SF257 Verde 8"x10" 2	SF257 Verde 8"x10" 3
SF258 Roja 4"x6"	SF258 Roja 4"x6" 1	SF258 Roja 4"x6" 2	SF258 Roja 4"x6" 3
SF258 Roja 8"x10"	SF258 Roja 8"x10" 1	SF258 Roja 8"x10" 2	SF258 Roja 8"x10" 3
WF464 Urban 4"x6"	WF464 Urban 4"x6" 1	WF464 Urban 4"x6" 2	WF464 Urban 4"x6" 3
WF464 Urban 8"x10"	WF464 Urban 8"x10" 1	WF464 Urban 8"x10" 2	WF464 Urban 8"x10" 3
WF466 Rogue Valley Pear 4"x6"	WF466 Rogue Valley Pear 4"x6" 1	WF466 Rogue Valley Pear 4"x6" 2	WF466 Rogue Valley Pear 4"x6" 3
WF466 Rogue Valley Pear 8"x10"	WF466 Rogue Valley Pear 8"x10" 1	WF466 Rogue Valley Pear 8"x10" 2	WF466 Rogue Valley Pear 8"x10" 3
WF467 Pelee Island Pear 4"x6"	WF467 Pelee Island Pear 4"x6" 1	WF467 Pelee Island Pear 4"x6" 2	WF467 Pelee Island Pear 4"x6" 3
WF467 Pelee Island Pear 8"x10"	WF467 Pelee Island Pear 8"x10" 1	WF467 Pelee Island Pear 8"x10" 2	WF467 Pelee Island Pear 8"x10" 3
WF468 Metro 4"x6"	WF468 Metro 4"x6" 1	WF468 Metro 4"x6" 2	WF468 Metro 4"x6" 3
WF468 Metro 8"x10"	WF468 Metro 8"x10" 1	WF468 Metro 8"x10" 2	WF468 Metro 8"x10" 3

Question Title

* 4. Special instructions