ETP-SMCR Preference Form

Thank you for your order, which includes model ETP-SMCR Surface Mount(s) for Phone and Card Reader.

This order cannot be processed until we receive the following information.

Please fill in the answers below and then press the submit button.

Fields marked with * are required.

Customer Information

Company: *

Purchase Order #: *

Company you ordered from:

If you did not order directly from Talk-A-Phone, enter the name of the company you ordered from

Your Name: *

Your Title: *

Phone Number: *

Email: *

Order Information

Quantity: *

What color shall we paint the surface mount(s)?: *

Download paint color chart
Note: Yellow is standard, other colors require an additional charge and extra lead time.

Other Color:

What should the lettering read on the sides of the unit(s)?: *

Other Lettering:

What color reflective lettering should we use?: *

Other Lettering Color:

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