Order Form

Distinct Impressions

Online Order Form

If you prefer to fax or mail your order click here
Fax line not available for the month of October

Pet Memorials			Garden Stones
Personalized Stones	Corporate Awards	Special Instructions	Payment Information

Quantity	Item

Inscription:
	Please send any artwork or logos for a quote

Please list any special instructions or request for you order in the text box below

Please select payment method

MasterCard

VISA

Discover

Check

Money Order

If paying by credit card, please provide the credit card billing address if different than above.
Address:
Zip Code:

We do not offer a secure website for transmission of credit card information and do not recommend transmitting credit card numbers on this form.
Please select a method of credit card number transmission:
	Will split credit card number and send in two e-mails sales@distinctimpressions.com
	Will call with credit card number (207) 929-5116 or 1-800-662-2845
	Will fax credit card number (207) 929-5117
	Please call me for my credit card number
	Telephone:	Time to call:

Please check to make sure the information is correct
To finalize order click the submit button once.