Pillars Order Form
Quantity
Top Profile
Base Profile
Height
Width
Price
Smooth    25%
Paint   15%
Stucco   20%
Stone  35%
Color
Total
Ship To
Fax
E-mail
PO#
Contact
Sub Total
Utah Sales Tax  (.0625)
Shipping
Total
60% due to order
40% COD
Questions & Comments
20%
Date
1
2
3
4
5
6
7
8
9
10
11
12
Pillars Etc
PO Box 732     St. George, UT 84771
888-474-5527   435-688-8310   Fax  866-808-7975    mail@pillarsetc.com
Customer
Address-2
Phone-1
Company
Address-1
City
State
Zip
Customer
Address
City
State
Zip
Phone-2
Company
1- Color
2- Color
3- Color
4- Color
Custom Shape
Flutes
Spiral
Joiints