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Mirror-tique Quote Request
Contact us if you have questions:
877-248-6656
mirrortique@gmail.com
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* Indicates required question
Name:
*
Your answer
Street Address:
*
Your answer
City, State Zip
*
Your answer
Delivery:
*
Residential
Business with Loading Dock
Business without Loading Dock
International
Phone #:
*
Your answer
Email:
*
Your answer
Buyer Type:
*
Stocking Dealer
Interior Designer
End User
Tax ID #:
Your answer
Quantity:
*
Your answer
Framed or Unframed:
*
Framed Mirror
Unframed Mirror Panels
Width in Inches:
*
Your answer
Height in Inches:
*
Your answer
Mirror Panel Layout:
*
Single Panel
Trumeau
Corner Panel ( Rosettes Optional )
Miter Corner ( Rosettes Optional )
Panel Mirror ( Rosettes Optional )
Harlequin ( Rosettes Optional )
Harlequin Deluxe ( Rosettes Optional )
Crown Top
Round
Oval
Rosettes:
No Rosettes
Dome
Daisy
Oxford
Hammer
Pyramid
Clear selection
Mirror Distress Level / Finish:
*
Light Distress
Medium Distress
Heavy Distress - Black
Heavy Distress - Color ( Please write in notes section )
Gold Leaf Gilding
Silver Leaf Gilding
Copper Leaf Gilding
Mixed Metal Leaf Flake Gilding
Imprinted Mirror
Graphic Image ( Use Your Design )
Custom Map Mirror
Photograph ( Use Your Photo )
Custom Logo ( Use Your Logo )
Frame:
*
Iron Frame
Aluminum Frame
Gold Leaf Gilded Frame
Silver Leaf Gilded Frame
Copper Leaf Gilded Frame
Floating Mirror ( Exposed Polished Mirror edge , No metal frame, Inset Plywood Backboard, Hanging Hardware )
Mirror Panels Only ( No Frame )
How did you hear about us?
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Notes:
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