Custom Order Form | ShocksFunctionalArt

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Shocks Functional Art

Woodworking and Epoxy Creations

336-253-5643

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shocksfunctionalart@gmail.com

13362535643

Custom Order Form

Fill me out to bring your creation to life!

Please note I require a deposit BEFORE I start your order.

First name*

Last name*

Address (Please include State & Zip code) *

Phone Number (Please include area code)*

Email*

Project Details (Please include; item desired, color for glow, specific wood, etc.)*

Images for Inspiration

Where did we talk?*

How would you like to pay? *

Are you a returning customer?

Shocks Functional Art

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