Order Form

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ORDER FORM

[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built=”1″ _builder_version=”3.0.47″ prev_background_color=”#000000″ next_background_color=”#000000″][et_pb_row _builder_version=”3.0.96″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”2_3″][et_pb_contact_form module_id=”et_pb_contact_form_2″ _builder_version=”3.0.96″ captcha=”on” use_redirect=”on” custom_button=”off” button_icon_placement=”right” custom_message=”Name – %%name%%<p>||et_pb_line_break_holder||Shipping Address – %%shipping-address%%<p>||et_pb_line_break_holder||Company – %%company%%<p>||et_pb_line_break_holder||Email – %%email%%<p>||et_pb_line_break_holder||City – %%city%%<p>||et_pb_line_break_holder||State – %%state%%<p>||et_pb_line_break_holder||Zip – %%zip%%<p>||et_pb_line_break_holder||Phone – %%phone%%<p>||et_pb_line_break_holder||Pattern Number – %%pattern-number%%<p>||et_pb_line_break_holder||Job Description – %%job-description%%<p>||et_pb_line_break_holder||Total Number of Parts – %%total-number-of-parts%%<p>||et_pb_line_break_holder||Listed Price – %%listed-price%%<p>” email=”noeleenn@imaginixhydro.com,doug@imaginixhydro.com,david@chicagomediaguys.com” border_width_left=”1px” success_message=”Thanks for submitting your order. 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[swiftsign swift_form_id=”1895″]
I, [swift_name size=”medium”], and Imaginix Hydrographics agree to the above information.

 

Please click the pencil below and sign your name.

[/swift_showhide]
[swiftsignature]
Signed and agreed on this [swift_date_long].
Primary Email: [swift_email name=”email” required]
[swift_button]
[/swiftsign]

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CONTACT

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Imaginix Hydrographics is always looking to hear from our customers!

 

Whether you have a question about the hydrographics process, are looking for more information about our prices and services, or want to leave feedback, we encourage you to send us a message.

We are constantly looking for ways to improve our service and tailor it to fit your needs, and the more we hear from you the better!  Of course, you can also use this form to get in touch about any services you’re interested in as well.  We would be glad to assist you!

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For more information please send us your info!

[/et_pb_text][et_pb_text admin_label=”Get in touch.” global_parent=”30887″ background_layout=”dark” _builder_version=”3.0.96″ text_font=”Roboto Light||||” text_font_size=”56″ text_line_height=”1.2em” text_orientation=”center” module_alignment=”center” custom_css_main_element=”font-weight: 300;” /][et_pb_contact_form global_parent=”30887″ captcha=”off” email=”dougw@imaginixhydro.com, info@imaginixhydro.com, jdwkolorpatch@gmail” custom_message=”Contact Form||et_pb_line_break_holder||%%name%%<p>||et_pb_line_break_holder||%%email%%<p>||et_pb_line_break_holder||%%message%%<p>” success_message=”Thanks for contacting us!” form_background_color=”#ffffff” module_id=”et_pb_contact_form_0″ _builder_version=”3.21″ title_font_size=”18″ title_text_color=”#5b666d” form_field_font=”Roboto||||” form_field_font_size=”18″ form_field_text_color=”#5b666d” border_radii=”on|4px|4px|4px|4px” border_width_all=”1px” border_color_all=”#d7dce1″ custom_button=”on” button_text_size=”15″ button_text_color=”#ffffff” button_bg_color=”#b49b57″ button_border_width=”9″ button_border_color=”#b49b57″ button_border_radius=”4″ button_letter_spacing=”1″ button_font=”Roboto||||” button_use_icon=”off” button_border_radius_hover=”4″ button_letter_spacing_hover=”1″ use_border_color=”on”][et_pb_contact_field field_id=”Name” field_title=”Name” _builder_version=”3.0.47″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Email Address” field_type=”email” _builder_version=”3.0.47″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Message” field_type=”text” _builder_version=”3.0.47″ border_radii=”on||||”][/et_pb_contact_field][/et_pb_contact_form][et_pb_text global_parent=”30887″ background_layout=”dark” _builder_version=”3.0.105″ text_font_size=”20px” header_font_size=”23px”]

Get in touch.

847-844-8200

info@imaginixhydro.com

36 Center Dr, Gilberts, IL Unit 1, 60136, USA

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Imaginix Hydrographics is an FFL (Federal Firearms License) decorator.

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