************************************************************************ COMPANY LOGO Order Form ************************************************************************ Please fill out completely: Date NamePhone SHIPPING ADDRESS Name Address CityStateZip CountryPhone EMail Method of Payment Master Card Visa Discover American Express Card Number Exp date Cardholder Name Billing Address Zip ************************************************************************* Item Qty Price Total ************************************************************************* 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 Submit, Mail or fax this form to us (fax 937-235-0487) ------------------------------------------------------------------------- Your logo on a Jerzees polo shirts(you may mix colors and sizes): 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 ------------------------------------------------------------------------- Your logo on Outer Banks Pique polo shirts(you may mix colors and sizes): 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 ------------------------------------------------------------------------- Your logo on hats (you may mix colors and styles): Profile Std Low Red White Royal Navy Black Forest Lt Gray Std Total x 9.50 = Low Total x 11.00 = ************************************************************************* Your logo on briefcases (you may mix colors) Navy Black Forest Total = x 26.00 = ************************************************************************* Total number of items Total Shipping =$5 for first item plus $1 per Shipping additional item Subtotal Tax (Ohio residents only 6.5%) Total Order Amount ************************************************************************* Back