Bookmark Xpress Yourself Lawn Sign!

Contact Information:
Mailing Address:	X-press Yourself Lawn Signs 14 Beamish Crt., Brampton, Ontario, L6P OX8, Canada Attn.: Nadia Federico
Telephone:	905.794.9075
Fax:	905.794.9075
E-mail:	nadia@xpresslawnsign.com, nadia88@rogers.com Please send order form to both e-mail's addresses, thank you. CANADIAN INQUIRY'S ONLY!!!

ORDER FORM:
*Bold questions are required fields.

Delivery Date:

Type & total number of Lawn Ornaments Requested.

Type	Qty	Type	Qty
Baby Blocks		Little Mexican Girl
Stork Pink		Princess
Stork Blue		Hawaiian Girl
Muscleman		Sexy Man
Teddy Bear		Champagne Bottle / Top Hat
Dinosaur		Heart Teddy Bear
Red Monster		Betty Boop
Holy Cow		Pig
Cake		Mexican Girl 2 (coming soon)
Champagne Bottle (coming soon)
Package #1 - All Occasions Price on main page
Package #2 - Birth Announcements – Price on main page

Do you need any extras (e.g mini lawn signs)?

Yes No
If yes, please select type:
	Happy Birthday	Anniversary (n/a)
	40th Birthday	50th Birthday
	Sun Pinwheel	Ladybug Pinwheel
	Welcome Baby	Flamingos
	Pig's	Cow
	Penguin's

Message on Personalized Sign

Set-up Time

AM   PM - Time:

Address of Set-up:

Address:

City:

Postal Code:

Main Intersection:

Subdivision of home and Special Directions
including type of house, unique property markings or types of trees on front lawn)

Customer Information:

Name:

Billing Address (if different from above):

City:

Postal Code:

Province / Country:

Ontario, Canada ONLY

Telephone:

Email:

How would like me to confirm this order?

Telephone Email

Payment Options:

Cash in the mailbox of set-up location VISA M/C
Please note service is not rendered unless payment is received by set up time.

Credit  Card Information
(please print this order form and fax with your credit card information to 905.794.9075 or call me at 905.794.9075)

Credit Card Number:

Expiry Date

Name on Card

Do you have any additional questions or comments?

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