Custom Slate Design Request Form Production Title* Name* Production Position Email* Enter Email Confirm Email Production Contact Email Addtl Contact Email for Quote Submission.Phone*Shipping Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Principle Photography Start Date* YYYY slash MM slash DD Director Name (Type "Blank" if none)* Director of Photography Name (Type "Blank" if none)* Specify guild association if applicable (ASC, BSC, ACS, etc.)Camera Color Designations*What colors correspond with your camera letters or would you like to leave Blank? (ex. A-Red, B-Blue, C-Yellow, D-Purple, etc.)Timecode Faceplate Style 1 – Choose Model Type*0 – N/ADeneke TS2/3 Faceplate ($115.00) *Most PopularDeneke TS-C Mini Faceplate ($70.00)Ambient ACN-LS Faceplate ($115.00)Ambient ACD301 Faceplate ($70.00)Betso WC-1 ($110.00)Diety TC-SL1 ($110.00)Style 1 QTY*0 – N/A12345678910Select Qty for Timecode Faceplate Style 1Style 1 Camera Designation Tell us which cameras apply to your qty choice. (ie. Qty-4 = A, B, Blank, Blank)Timecode Faceplate Style 2 – Choose Model Type*No Secondary Faceplate Model – N/ADeneke TS2/3 Faceplate ($115.00) *Most PopularDeneke TS-C Mini Faceplate ($70.00)Ambient ACN-LS Faceplate ($115.00)Ambient ACD301 Faceplate ($70.00)Betso WC-1 ($110.00)Diety TC-SL1 ($110.00)Style 2 Camera Designation Tell us which cameras apply to your qty choice. (ie. Qty-4 = A, B, Blank, Blank)Style 2 QTY*0 – N/A12345678910Select Qty for Timecode Faceplate Style 2Classic Slates (11") – ($160.00)*0 – N/A12345678910Select Qty for Classic SlatesClassic Slate StixPremium Black/White Walnut Laminate Stix (included)Premium Color Walnut Laminate Stix (included)Premium Black/Black Walnut Laminate Stix (included)Premium Natural Walnut with Painted Chevron (Included)Classic External Hinge Screen Printed Wood Stix (subtract $20/slate)13" Anamorphic Sizing Upgrade Upgrade to 13″ Anamorphic Sizing (Additional $5.00) (BW and Color Only) Classic Slate Camera Designation Tell us which cameras apply to your qty choice. (ie. Qty-5 = A, B, C, Blank, Blank)Medium Slates (8.25") – ($140.00)*0 – N/A12345678910Select Qty for Medium SlatesMedium Slate StixPremium Black/White Walnut Laminate Insert Stix (included)Premium Color Walnut Laminate Insert Stix (included)Medium Slate Camera Designation Tell us which cameras apply to your qty choice. (ie. Qty-5 = A, B, C, Blank, Blank)Insert Slate (6") with Stix ($120.00)*0 – N/A12345678910Select Qty for Insert SlatesInsert Slate StixPremium Black/White Walnut Laminate Insert Stix (included)Premium Color Walnut Laminate Insert Stix (included)Premium Natural Walnut with Painted Chevron (Included)No Stix – Board Only (subtract $20/per)Insert Slate Camera Designation Tell us which cameras apply to your qty choice. (ie. Qty-5 = A, B, C, Blank, Blank)Artwork UploadAccepted file types: jpg, jpeg, ai, psd, pdf, eps, tiff, png, Max. file size: 64 MB.Please upload artwork or email files/link to artwork@englishstix.com. Reference your production name in the subject line. Preferable formats are psd, ai, eps, pdf, or high res jpeg (11″ Width at 300dpi). Feel free to leave comments below for requests in layout, additional info sections, etc. Some file formats like Ai or PSD will not upload through website. Add to my order! Marks A Lot Chisel Tip Slate Pen ($1.65ea) Kleen Slate Eraser Cap ($0.95ea) Filter Tags – ND Set ($10.36ea) Filter Tags – The Essentials ($39.96ea) Filter Tags – Custom ($2.50ea) Director Name Tags (Coming Soon) Episode Number Tags (Coming Soon) Slate ID Tag Set – ($119.95ea) Lens Label – Prime Base Set ($78.95ea) Engraved Siemans Star – Insert ($14.95ea) Engraved Siemans Star – Mini ($8.95ea) Engraved Siemans Star – Combo Set ($19.95ea) KimWipe Protection Box ($12.95ea) 42″ Big Stix ($210ea) Big Stix Board Only ($310ea) Big Stix Combo ($480ea) Please be sure to specify color and quantity in the comments section at the bottom of this form. (ie. Filter ND Set 3x Sets in Red/White Text) See website for color options for each product. CommentsAny additional notes about order additions, layout design, specific font types, etc. please advise here. PLEASE BE SURE TO HIT SUBMIT ORDER REQUEST BELOW. YOU SHOULD RECEIVE A NOTICE AND EMAIL IMMEDIATELY TO INFORM YOU THE SUBMISSION WAS PROCESSED AND RECEIVED. FIELD ERRORS WILL SHOW IN RED IF SUBMISSION FAILED. Δ