Order form

Time Capsules & Commemorative Plaques

We will contact you via phone or email before the start of manufacture

Your name:

Delivery address: (FULL address including postcode)

Invoice address - if different to above:

Tel No:

Order Number/Ref:

Email:

TIME CAPSULES - select your choice below: TIME CAPSULES - select your choice below: Small Composite Time Capsule: Large Composite Time Capsule: Extra Large Composite Time Capsule: The Original Cast Lead Time Capsule:

SMALL CAPSULE - Tick the boxes below and type your text: SMALL CAPSULE - Tick the boxes below and type your text: Type text on lid of capsule Burial date

Type text you want around top & bottom curve of small capsule lid

Type date of burial here

LARGE CAPSULE - Tick the boxes below and type your text: LARGE CAPSULE - Tick the boxes below and type your text: Type text on lid of capsule Burial date opening date

Type text you want around top & bottom curve of large capsule lid

Type date of burial here

Type opening date here

EXTRA LARGE CAPSULE - Tick the boxes below and type your text: EXTRA LARGE CAPSULE - Tick the boxes below and type your text: Type text on lid of capsule Burial date opening date

Type text you want around top & bottom curve of extra large capsule lid

Type date of burial here

Type opening date here

LEAD TIME CAPSULE - Tick the boxes below and type your text: LEAD TIME CAPSULE - Tick the boxes below and type your text: Type text on lid of capsule Burial date opening date

Type text you want cast on the lead capsule

Type date of burial here

Type opening date here

Select your choice of commemorative plaque: Select your choice of commemorative plaque: Rectangular Wall Plaques: Oval Wall Plaques: Round Wall Plaques: Arched Top Wall Plaques: Rectangular Post-mounted Plaques: Oval Post-mounted Plaques: Round Post-mounted Plaques: Arched Top Post-mounted Plaques:

Rectangular Wall Plaques Rectangular Wall Plaques SQ-225-100 ....... (approx max characters 45) SQ-305-215 ....... (approx max characters 110) SQ-405-235 ....... (approx max characters 145) SQ-505-305 ....... (approx max characters 240) SQ-505-455 ....... (approx max characters 330) SQ-760-455 ....... (approx max characters 540)

Round Wall Plaques Round Wall Plaques R-375 ....... (approx max characters 170) R-455 ....... (approx max characters 330)

Oval Wall Plaques Oval Wall Plaques OVL-330-228 ....... (approx max characters 90) OVL-420-290 ....... (approx max characters 130) OVL-560-386 ....... (approx max characters 220)

Arched Top Wall Plaques Arched Top Wall Plaques ARC-405-305 ....... (approx max characters 125) ARC-505-305 ....... (approx max characters 150)

Rectangular Post-mounted Plaques Rectangular Post-mounted Plaques SQ-305-215-PMP ....... (approx max characters 110) SQ-405-235-PMP ....... (approx max characters 145) SQ-505-305-PMP ....... (approx max characters 240) SQ-505-455-PMP ....... (approx max characters 330) SQ-760-455-PMP ....... (approx max characters 540)

Oval Post-mounted Plaques Oval Post-mounted Plaques OVL-330-228-PMP ....... (approx max characters 90) OVL-420-290-PMP ....... (approx max characters 130) OVL-560-386-PMP ....... (approx max characters 220)

Round Post-mounted Plaques Round Post-mounted Plaques R-375-PMP ....... (approx max characters 170) R-455-PMP ....... (approx max characters 330)

Arched Top Post-mounted Plaques Arched Top Post-mounted Plaques ARC-405-305-PMP ....... (approx max characters 125) ARC-505-305-PMP ....... (approx max characters 150)

PLAQUE: Background Colour

PLAQUE: Text/Border Colour

TYPE THE TEXT YOU WANT ON THE PLAQUE - CHECK THE CORRECT MAXIMUM CHARACTERS BEFORE SUBMITTING ORDER:

9 + 5 =