ORDER REQUESTCindy Schultz ArtPlease fill in the form below and submit along with deposit for your order. Name * First Name Last Name Email * Phone (###) ### #### Please give description of what you would like to order. * I understand that a deposit is required for custom orders and that my item will not be shipped until Cindy Schultz Art has received my full payment. * Please hand your device to Cindy - she will fill in remaining information. Cindy - review information above to verify accuracy, confirm details below. Additional Details needed to complete project: Estimated Fulfillment Date * MM DD YYYY QUOTED - ESTIMATED COST * Deposit Amount Collected Today * Check ONE BOX ONLY to verify Deposit Received * DEPOSIT ONLY - Received Customer PAID IN FULL NO FUNDS were collected CINDY - 4 digit verifcation PIN * *enter the last 4 digits of your phone number to act as a verification that this order is accurate. Thank you for your custom order from Cindy Schultz Art!
