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This form is designed to provide rapid turn around for your order. Simply fill this form out to place an order for your design. This form must be completely filled out. If you have problems submitting this form you can print the printable version PRINTABLE CUSTOM ORDER FORM and fax it to us.
Email address:
Name:
Address:
City:
Billing Address:
State:
Zip:
Are all colors correct with the sample you received?
Yes
No
Re-order
If no explain
Are you overall satisfied with your sample?
Yes
No
Re-order
If no explain
Name:
Phone number:
Street address:
City:
(This information must be completely filled out with either the contact person or authorized person in your organization.)
Personal Information:
State:
Zip:
(All information above is kept CONFIDENTIAL)
Name:
Street address:
City:
Shipping address:
State:
Zip:
# of pieces:
Please view our current pricing. Price Chart
Order Information:
Name of design:
(The name of your design is the name of the art file that you approved)
Type of Product:
If other type of
product explain:
Payment made?
Payment Amount:
Purchase Order #:
(Call for total of your order including shipping.)
Check or
If you are using a credit card please call 877-312-1472 with info.
If paying by check, a purchase order number is required. Fax purchase order to 864-847-4276.
If paying by check, be sure to mail your deposit to: Southern Charm P.O. Box 6244 Anderson, SC 29623-6244
Balance Payment (Indicate method of final payment for any unpaid balance, this could be for order variance or shipping.)
Final payment will be made by check.
Final payment will be made by credit card (Visa or MasterCard) A 3.5% product price increase will apply.
All orders are subject to a 5% variance on pieces ordered (except flag orders). Organization ordering product is responsible for this amount in excess of order and understands that the order may be short this quantity also. (Example: If you order 100 pieces then your order could be shipped with 105 or 95 pieces. You will only be Invoiced for the quantity shipped.)
Organization ordering is responsible for all shipping costs. (This will be added to your final invoice.)
Southern Charm is not responsible for items damaged or lost during shipping. Please read our shipping policy: Shipping Policy
You will receive an invoice shortly after you receive your product. Payment is due before due date stated on your invoice which is 30 days from date of invoice (unless otherwise stated). Balances not paid in full by check before due date will be charge to credit card on file (if applicable). Balances not paid in full before due date that cannot be charged to a credit card will bear the delinquent charge of 5% stated in the "Past due fee applies if after" section of the invoice this will be in addition to the 3.5% product price increase. Balances that cannot be collected by Southern Charm will be processed to our collection agency. If account does go to collections, you agree to pay cost of collection, court costs and reasonable attorney fees.
Proceed with Order?
YES, proceed with my Order. I have read, understand and agree to the above statements.
Additional comments:


IMPORTANT!! You will be transferred to a completion screen when form has been sent. If you close out of this page before you are transferred the form will not be submitted.
Material Copyright © 2010 Southern Charm Custom Designs, LLC