Fax or Mail your order using the order form below

We have found the best way to do this is print out the entire page, fill in the necessary information and send by

• Mail to: Raskal LLC, 27 Tanglewood Drive, Norwich, CT 06360 USA
• Fax to: 815-333-1252 Questions: 860-887-1581 or john@web-plaques.com 
                                                                      Date:________
  
  Your Full Name:_________________________
  
  Shipping Address:_______________________________________________

City:___________________State or Province:_____________ Postal Code:__________ Country:___________

Your Phone # : ________________________ Email______________________

Name and Address as it appears on the credit card:

Your Full Name:____________________________________________

Shipping Address:____________________________________________

City:_____________State or Province:______________ Postal Code:____________Country:____________

Your Credit Card # __________________________ Expiration Date:_______ 3 digits on back of card _______

Today’s Order

Sub Total ______________
Call 860-887-1581 or e-mail john@web-plaques.com  for Shipping Total _____________
Total ______________
 

Comments or description _____________________________________________

Payment: [ ] Check enclosed [ ] Money Order Enclosed (USD)

Send to: John Bogdanski c/o web-plaques, 27 Tanglewood Drive, Norwich CT. 06360.
Fax to: 815-333-1252 If you have any questions or if I can help you in any way, please drop me a note at john@web-plaques.com or call 860-887-1581

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Raskal L.L.C. 27 Tanglewood Dr. Norwich, CT 06360