You must fill required fields outlined in red.
[This is to test whether you are a human visitor and to prevent automated spam submissions.]
Enter the Number as displayed below

QUOTE REQUEST - Championship-Style Ring
rev 06.06.14
1. Billing/Shipping Information
Club or District Name *
* = required field
Ship-to Street Address (no PO Boxes) *
City * State/Province *
Zip *
Name *
E-Mail *
Phone *
Special Instructions
Date Needed *
Allow 5 - 6 weeks for delivery
2. Ring Options
Side 1
Side 2
Top Left & Right
Top Center
or your 16 characters max
or your 16 characters max
plus the Rotary emblem
plus the Rotary emblem
Please be sure your ring size is accurate
There is a $30 fee for re-sizing (plus shipping)
If you would like a copy of your form please click "Print" before you click "Submit"
    Powered By SpreadsheetConverter