Name_____________________________________________

Phone Number______________________________________

Font Type (we will use our best judgment unless you have a specific request___________________________

Inscription - Circle One All UPPER case or UPPER/Lower Case

Write exactly as you want it to appear_______________________________________________
(Dates could appear as either 3/15/2011 or March 15, 2011 - Names could appear as ADAM or Adam)
Photo on the Front - unless you state otherwise Inscription on the Back - unless you state otherwise

Chain or Key Ring - Specific choice_________________________
Bar chain, thin bar/ball chain, lg bar/ball

Shape - specify_________________________________
(Sm heart, Reg. Heart, Oval, Round, Teardrop, Round w/hole, Cross, Crystal Edged, Sm Dog Tag, Med. Dog Tag, Lg Dog Tag, Sm Rectangle)