PERSONALIZATION
ORDER FORM
SOLD TO:
Name*
Address*
City*
State*
Zip Code*
Email*
Telephone*
SHIP TO: (if different from above)
Name
Address
City
State
Zip Code
Quantity
Item Style and Size Code*
Price ea.
Item Description*
Basic Design Code (if any)
FRAMES
Choose Layout
Vertical (Portrait)
Horizontal (Landscape)
Personalization (Top)
Personalization (Bottom)
BLOCKS
Personalization - Block Top
Personalization - Block Side 2
Personalization - Block Side 3
Personalization - Block Side 4
Personalization - Block Side 5
Personalization - Block Bottom
OTHER Products Personalization:
I have verified that all
information for engraving is
correct as to spelling and/ or
dates. Must type "YES" below.
ITEM Price
Gift Wrapping (if desired)
Choose optional gift wrapping.  Add $3.50
A separate order must be made and shipping
costs added for each individual address.
Personalization
Verified?*
ITEM Subtotal
Treasured Haven Farm
53407 Government Road  Rush City, MN 55069
Phone: 320-358-3581
www.treasuredhavenfarm.com            orders@treasuredhavenfarm.com
* Required Field