ACCOUNT # ___________________________________________________________________________ NAME ___________________________________________________________________________________
TEL ______________________________________________________________________________________
CUSTOM COLOR: Indicate color numbers below.WOOL ONLY. EMAIL ____________________________________________________________________________________ A. Cut
B. Loop
____________________________________
SHIP TO ADDRESS ______________________________________________________________________ ___________________________________________________________________________________________
____________________________________
___________________________________________________________________________________________ SHIP TO PHONE # _____________________________________________________________________
CARD # _________________________________________________________________________________ EXP. DATE _______________________________________________________________________________ NAME ON CARD ______________________________________________________________________ SIGNATURE _____________________________________________________________________________
E ~ SPECIAL INSTRUCTIONS ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________