To request a quote simply print this page, fill it out and fax it in to 702-270-6291

For a custom item please attach a sketch of the item with this form.

CREATIVE FOAM SHAPES CORP.						FAX ORDERS TO:
4420 Andrews St #B						702-270-6291
Las Vegas NV 89081
Office: 702-270-6572
Date					PO #
Customer:						Ship To:
Phone
Fax
Quantity	Description						Size		Price
								Delivery
Credit Card Information:								Total
Card # ___________________________				Exp Date:______________
Name on Card ____________________________________________
Type of Card: (Circle)
	Visa
	Mastercard
Signature of approval: _________________________________						Date:___________________