Custom Made Broom Quote Form

This form was put together so we could gather the information needed to put a quote together for you. NOTE: NO INFORMATION WILL EVER BE SOLD OR GIVEN TO ANYONE!! This information is for OUR records to put a quote together ONLY!! All information MUST be in ENGLISH!!

Please make sure you have your list of Numbers (example: PE-NW) that you will need to fill out this Quote Form. * Prices Do Not Include SHIPPING & HANDLING (NOTE: All brooms/besoms are subject to oversized shipping). FREE Goodie Bag included with every purchase!

* Required

* 1 . Wood Type

California Elm

Corkscrew Willow

Cottonwood

Mermosa

Sycamore

White Mulberry

* 2. How long does the broom need to be? (please give in inches):

NOTE: if you are going to be jumping over the broom with your partner, here is how to measure the length of the broom. Stand side by side and measure from your shoulder to the end of your partners shoulder and then add 8" to the measurement. The extra inches is to make sure you have plenty of jumping space.

* 3. What type of broom would you like made? (if you are ordering a flower broom go to question #4, otherwise skip down to quesion #6):

With Flowers

Plain Straw

Plain BroomCorn

4. Which Flower Type(s) and Color(s) you would like in your broom/besom?:

Mini Gypsy (please leave a space between color number(s):

Sesame Bloom (please leave a space between color number(s):

Statice Sinuata (please leave a space between color number(s):

Wheat (please leave a space between color number(s):

Phalaris (please leave a space between color number(s):

Hill Flower (please leave a space between color number(s):

Beargrass (please leave a space between color number(s):

Rye (please leave a space between color number(s):

Avena Oats (please leave a space between color number(s):

Lavender (please leave a space between color number(s):

Lagurus (please leave a space between color number(s):

Which Feather(s) you would like in your broom/besom?:

Peacock Eyes (please leave a space between color number(s):

Peacock Swords (please leave a space between color number(s):

Peacock Butterfly (please leave a space between color number(s):

Pheasant (please leave a space between color number(s):

5. Do you want to use my ribbon or your own ribbon?:

Yes, your ribbon

No, my own ribbon

NOTE: if you are going to use your own ribbon, please skip down to where you can enter your ribbon color. If you are going to use my ribboon, please go to the next question.

Which Thyme ribbon would you like to have on your broom/besom?:

Halloween

Fall

Spring

Summer

Children

Solid

Other

Which Ribbon Number would you like on the bottom part of your broom (this is the ribbon that will cover all the sticks of the flowers)? Place Ribbon Number in this box:

My Own Ribbon Color:

Do you already have your own ribbon?:

Yes

No

Do you want us to buy it for you? (if the answer is yes, skip this question):

Yes

No

6. Which Hemp Cord (twine) Color(s) (this is for the Plain Straw & Plain BroomCorn Brooms ONLY!) would you like on your broom/besom? (please leave a space between color number(s):

7. Which Small Ribbon would you like on the top of your broom (this is the ribbon that your broom will hang from on the wall):

8. Which Wood Burning Symbol would you like on your broom (this is not part of the FREE inscription, you will have to pay for each symbol):

9. The following information is needed to figure out shipping charges & the e-mail address & phone number is for contacting you with the quote information. You will be contacted by e-mail first.

* Your First Name:

* Your Last Name:

* Address being Shipped to:

* City being Shipped to:

* State being Shipped to:

* Country being Shipped to:

* Zip Code/Postal Code being Shipped to:

* Contact Phone Number:

* Contact E-Mail Address:

* Date of Event:

Inscription (Wood Burning):

* How Did You Hear/Find Us?:

Please add any comments you have below:

* Required

All brooms have a Lifetime Warranty on workmanship only. To read more please go to our Broom Care & Other Facts Sheet.

ProPay Credit Card Services

For more information on our forms of payment methods, please visit our Payment Center!

Copyright �2000-2008 Impressions By Lirica Broom Shoppe
Nothing may be removed without express permission by the owner including graphics & content! International since 2003
This page was last updated on January 24, 2008

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Custom Made Broom Quote Form

This form was put together so we could gather the information needed to put a quote together for you. **NOTE: NO INFORMATION WILL EVER BE SOLD OR GIVEN TO ANYONE!! This information is for OUR records to put a quote together ONLY!! All information MUST be in ENGLISH!!**

Please make sure you have your list of Numbers (example: PE-NW) that you will need to fill out this Quote Form. * Prices Do Not Include SHIPPING & HANDLING (NOTE: All brooms/besoms are subject to oversized shipping). FREE Goodie Bag included with every purchase!

* Required

* 1 . Wood Type

California Elm

Corkscrew Willow

Cottonwood

Mermosa

Sycamore

White Mulberry

* 2. How long does the broom need to be? (please give in inches):

* 3. What type of broom would you like made? (**if you are ordering a flower broom go to question #4, otherwise skip down to quesion #6**):

With Flowers

Plain Straw

Plain BroomCorn

4. Which Flower Type(s) and Color(s) you would like in your broom/besom?:

Mini Gypsy (please leave a space between color number(s):

Sesame Bloom (please leave a space between color number(s):

Statice Sinuata (please leave a space between color number(s):

Wheat (please leave a space between color number(s):

Phalaris (please leave a space between color number(s):

Hill Flower (please leave a space between color number(s):

Beargrass (please leave a space between color number(s):

Rye (please leave a space between color number(s):

Avena Oats (please leave a space between color number(s):

Lavender (please leave a space between color number(s):

Lagurus (please leave a space between color number(s):

Which Feather(s) you would like in your broom/besom?:

Peacock Eyes (please leave a space between color number(s):

Peacock Swords (please leave a space between color number(s):

Peacock Butterfly (please leave a space between color number(s):

Pheasant (please leave a space between color number(s):

5. Do you want to use my ribbon or your own ribbon?:

Yes, your ribbon

No, my own ribbon

NOTE: if you are going to use your own ribbon, please skip down to where you can enter your ribbon color. If you are going to use my ribboon, please go to the next question.

Which Thyme ribbon would you like to have on your broom/besom?:

Halloween

Fall

Spring

Summer

Children

Solid

Other

Which Ribbon Number would you like on the bottom part of your broom (this is the ribbon that will cover all the sticks of the flowers)? Place Ribbon Number in this box:

My Own Ribbon Color:

Do you already have your own ribbon?:

Yes

No

Do you want us to buy it for you? (if the answer is yes, skip this question):

Yes

No

6. Which Hemp Cord (twine) Color(s) (this is for the Plain Straw & Plain BroomCorn Brooms ONLY!) would you like on your broom/besom? (please leave a space between color number(s):

7. Which Small Ribbon would you like on the top of your broom (this is the ribbon that your broom will hang from on the wall):

8. Which Wood Burning Symbol would you like on your broom (this is not part of the FREE inscription, you will have to pay for each symbol):

9. The following information is needed to figure out shipping charges & the e-mail address & phone number is for contacting you with the quote information. You will be contacted by e-mail first.

* Your First Name:

* Your Last Name:

* Address being Shipped to:

* City being Shipped to:

* State being Shipped to:

* Country being Shipped to:

* Zip Code/Postal Code being Shipped to:

* Contact Phone Number:

* Contact E-Mail Address:

* Date of Event:

Inscription (Wood Burning):

* How Did You Hear/Find Us?:

Please add any comments you have below:

* Required

All brooms have a Lifetime Warranty on workmanship only. To read more please go to our Broom Care & Other Facts Sheet.

ProPay Credit Card Services For more information on our forms of payment methods, please visit our Payment Center!

This form was put together so we could gather the information needed to put a quote together for you. NOTE: NO INFORMATION WILL EVER BE SOLD OR GIVEN TO ANYONE!! This information is for OUR records to put a quote together ONLY!! All information MUST be in ENGLISH!!

* 3. What type of broom would you like made? (if you are ordering a flower broom go to question #4, otherwise skip down to quesion #6):

ProPay Credit Card Services

For more information on our forms of payment methods, please visit our Payment Center!