ETP-SMW Preference Form

Thank you for your order, which includes model ETP-SMW Wireless Surface Mount(s).

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: *

(e.g. john@example.com)

Order Information

Quantity: *

What kind of finish would you like for the surface mount(s)?: *

Note: Brushed stainless is standard, painting is available for an additional charge. Before selecting a paint color, make sure your Purchase Order includes this charge.

Other Color:

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

Other Lettering:

What color reflective lettering should we use?: *

Download lettering color chart

Other Lettering Color:

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ETP-SMW Preference Form