Special Order Request Form
We cannot guarantee that we can accommodate all special requests. Please
fill out the information below and take special care to list all the specific
details of your request in the "Special Request Details" box. Once we have
the information we will get back to you on whether or not we can
accomodate your request and give you feedback on what we can or can't
do along with any additional cost that might be required.
Last Name:
First Name:
Date:
Email Address:
Address:
City:
State:
Zip Code:
Telephone  No.
Enter the date you need your product delivered:
Special Request Details:
 
$5.00
Special Order
Based on your request to us, if we can come up with a design that you would
like to purchase, there may be additional charges.  The following Order Now
buttons below are to be used for the additional charge rates for Special
Orders.  We will explain what you would have to do to place the order .
 
Special Order
$20.00
(C) The pictures, text and all content on this site are created by and
property of, Elegant Umbrella. The reproduction or use of any of the
contents on this site is expressly prohibited unless authorized in writing by
Elegant Umbrella.
Special Order
$10.00
Special Order
$15.00