Order Form title

Name: *
E-mail: *
Please complete the form with as many details as possible. A Downey representative will contact you shortly regarding your custom order or to provide a quote.
Glass Application:
Number of Pieces:
Size/Measurements (approximate):


Design Style:

For pattern design number, please reference the Design Gallery.  Clicking on a pattern will enlarge the image and reveal the design number for that pattern.

Pattern: DS_Natural_
Pattern: DS_Faux_
Pattern: DS_Modern_
Pattern: DS_Playful_
Pattern: DS_Fades_
Pattern: DS_Dots_
Pattern: DS_Lines_

*if using a Dots pattern:

Dot Angle:
Dot Size:
Other Dot Angle:
Other Dot Size:
Color Customization:
Spot Colors:
Other (specify Pantone or RAL):

Anything else you want to tell us about this project: