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COMPANY LOGO Mail or Fax Order Form
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Please fill out completely: Date_________________
Name______________________________________________Phone_________________
SHIPPING ADDRESS
Name____________________________________________________________________
Address_________________________________________________________________
City_____________________________State__________________Zip_____________
Country_______________________________Phone_____________________________
EMail (optional)________________________________________________________
Method of Payment Check/Money Order _____ Master Card _____
Visa _____ Discover _____
American Express _____
Credit card Number ______________________________ Exp date ________
Cardholder Name _________________________________________________
Billing Address ______________________________ Zip _____________
Signature _________________________________________________
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Item Qty Price Total
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COMPANY LOGO SPECIAL
How it works: 1 Select the items you want your logo on:
-minimum initial order is:
-five shirts -or-
-five briefcases -or-
-ten hats
2 Once the minimum is selected, feel free to order any
quantity of the other items.
3 No minimum on reorders.
4 Get your logo to us by one of the following means:
- Email to sales@EmbroideryCreations.com
- Fax to 937-235-0487 (include colors)
- Stop by our Huber Heights location 937-235-0441
- Mail info to: Embroidery Creations
5050 Nebraska Ave. Ste. 9
Huber Heights, OH 45424
5 Mail or fax this form to us (fax 937-235-0487)
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Your logo on a Jerzees polo shirts(colors and sizes may be mixed):
Adult sizes SM MD LG XL 2X
Red | | | | | | |
White | | | | | | |
Royal | | | | | | |
Navy | | | | | | |
Black | | | | | | |
Forest | | | | | | |
Lt Gray | | | | | | |
Natural | | | | | | |
S-XL Totals ____ ____ ____ ____ = _____ x 20.00 _______
2X Total ____ = _____ x 23.00 _______
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Your logo on Outer Banks Pique polo shirts(colors and sizes may be mixed):
Adult sizes SM MD LG XL 2X
Red | | | | | | |
White | | | | | | |
Royal | | | | | | |
Navy | | | | | | |
Black | | | | | | |
Forest | | | | | | |
Lt Gray | | | | | | |
S-XL Totals ____ ____ ____ ____ = _____ x 25.00 _______
2X Total _____ = _____ x 28.00 _______
Names ____ ____ ____ ____ _____ = _____ x 5.00 _______
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Your logo on hats (colors and styles may be mixed):
Profile Std Low
Red | | |
White | | |
Royal | | |
Navy | | |
Black | | |
Forest | | |
Lt Gray | | |
Std Total ____ = _____ x 9.50 = _______
Low Total ____ = _____ x 11.00 = _______
Names ____ ____ ____ ____ _____ = _____ x 5.00 _______
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Your logo on briefcases (colors may be mixed)
Navy | |
Black | |
Forest | |
Total ____ = _____ x 26.00 = _______
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Total number of items _____ Total________
Shipping =$5 for first item plus $1 per additional Shipping________
Subtotal ________
Tax (Ohio residents only 7.5%) ________
Total Order Amount ________
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