Order form  for Custom Home and Office Number signs

To order fill out form below, submit by email by clicking button below or, if you would prefer print, then fax or mail to us at:

Jim Villa Signs - 1656 Townhall Road W. - Erie, PA 16509 - 814-860-8081

After we receive your order we will call to confirm.  We will take your payment information at that time.  If paying by check please print and mail this form along with your check to the address above.  For other custom signs, or if you have any questions
please call us at 814-860-8081

Name:
Address:
City, State, Zip
Phone:
Email:
Ship to (if different):
Name:
Address:
City, State, Zip
Shape of sign:
Background color:	Dark Blue Dark Green Burgundy Black White
Border color:	Gold Leaf Silver Leaf Dark Blue Dark Green Burgundy Black White
Lettering color:	Gold Leaf Silver Leaf Dark Blue Dark Green Burgundy Black White
Exact name, wording, lettering or numbers to appear on sign: Note: First 5 letters/numbers included in $125 price.  $10 per each additional character.