Order Form

Form of Payment *

Name: *

If you need an engraved plate for text, please choose a color

Comments *

Will you need a coin mounted *

Name:

**If you selected the coxcombing wrap, please indicate 2 colors for the double spirl wrap here

Paddles are unvarnished, so please let us know which stain color you would like

If you chose to have text engraved onto a metal plate as indicated above, please enter it here

Address to mail paddle to, please include (Apt #, Suite #, etc) and include zipcode

Email for receipt *

What color for your first wrap

What color for your third wrap (this applies to coxcombing)

Contact number to be reached *

What design of wrap do you prefer (Please refer to the Gallery)

Will a logo, symbol or rank insignia be engraved on the paddle (black & white only) please email to support@paddle-plaques.net *

Will an emblem/device be placed or engraved on the handle (If Yes, please specify in the comments box or select N/A)

If you would like words engraved into the paddle, please enter the information here

What size paddle do you need

Please enter date you need the paddle by

What color for your second wrap (this applies to the double spiral and coxcombing)