PRINT FORM
Due to the customized nature of Personalized Covers, it is best that you email or call me first for your customized quote. Then, print out this form, fill it out completely, and mail it, along with your measurement tracing and payment, to:

Bob Mansure, Personalized Covers
227 E. Greenwood Ave., Lansdowne PA 19050

Yes, I would like to receive my Personalized Cover! My information is as follows:

Name: ____________________________________

Address: __________________________________

City: ______________     State: ____     Zip: ______

Country: __________________________________

Phone: _____________     Email: _______________

Type of Case:

Color Preferences (click here to view colors available):
If you would like a two-tone cover, please check both colors.

Design Specifications: Please attach a separate drawing, sketch or description for your desired design.

Size Specifications: Please attach a separate drawing indicating the case dimensions. For information on how to get an accurate measurement,
please CLICK HERE.

Type of Payment (US Currency only):
Check
Money Order

Thank you for placing your order with Personalized Covers!