Graduation Chips Order Form

Side 1

Side 2

Graphic Choice:

Please Choose your Color of Chips & Quantities:

*First Name:

*Last Name:

*Address:

*State:

*Zip:

*Day Time Phone:

Evening Phone:

*E-mail Address:

*City:

*Required Fields

Click the SUBMIT FORM Button for your quantity of chips to continue. This will not complete your order. You will continue on to payment in the next step.

We also accept Personal Checks and Money Orders

Vogrins Palace

Custom Poker Chips

(440) 725-8448

Fill in the boxes below with desired custom text.

(40 characters including spaces MAX). Keep in mind the more letters you use, the smaller the text. So consider this when choosing your custom text. Less than 40 is ideal including spaces.

Please indicate the text and picture for each side of the chip. Seperate TOP TEXT from BOTTOM TEXT by hitting enter.