Order Form

We accept cash, Mastercard and Visa. Other forms of payment acceptable with approval.

When placing an order please include style, finish, roof pitch, roof size desired, company name, shipping address, and phone numbers. Include a contact name and phone number of the person responsible.

Standard copper product items require four to six weeks for delivery. Custom designs may take longer. Green patina available at small additional cost.

First Name

Last Name

Telephone

Address

City

State

Zip

Email Address

How Did You Hear About Us?

Qty
Item
Description / Roof Pitch
Amount
Type of Card

Card Number

MM

YYYY

CC ID #

Full Name – Signature


Fax Number

Directions:

1. Insert your information into the form

2. Print form

3. Fax form to 405.793.9464

Print the Form