Side Mark: ____________________________________________________________________ Ship To Phone #: _____________________________________________________________
C Scroll Color
J Design Color
Wool or Silk
Wool or Silk
D Design Color
K Design Color
Freight: ______________________________________
Wool or Silk
Wool or Silk
Total: ________________________________________
E Design Color
L Design Color
Deposit: ______________________________________
Wool or Silk
Wool or Silk
Balance: ______________________________________
F Design Color
M Design Color
Wool or Silk
Wool or Silk
Strike Off
Order Rug Cost: _____________________________________
Expiration Date: ______________________________________________________________ Name on Credit Card: _________________________________________________________ Signature: ____________________________________________________________________