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To order by fax, Invoice/PO#______________
Date________________________
item #__________________
item #__________________
item #__________________
item #__________________
item #__________________
How many_______
Color______________
Size________
How many_______
Color______________
Size________
How many_______
Color______________
Size________
How many_______
Color______________
Size________
How many_______
Color______________
Size________
Ship to:___________________________________________________________________
Address___________________________________________________________________
City, State, Zip_____________________________________________________________
Phone #____________________________________Fax #___________________________
Credit card #____________________________________________ Exp. date__________
e-mail address______________________________________________________________________
Embroidery lettering (circle one) Script - Block ( $5.00 per line )
Position (circle one) Left side over pocket - Right side over breast
Thread color- ( circle one )
Black Navy Royal Red other_______________
item #__________________
How many_______
Color______________
Size________
item #__________________
How many_______
Color______________
Size________
item #__________________
How many_______
Color______________
Size________
item #__________________
How many_______
Color______________
Size________
Name to be embroidered_______________________________________________________
Name to be embroidered_______________________________________________________
To order with money order:
Fill out order form and mail to: Jubi Uniforms 12 Appleton Way Amherst, NH 03031
Cost_______________________
Tot.
Total_______________________
Size (circle one) Cap: 3/8 Low:1/4 Cap: 1/2 Low: 3/8 Cap: 3/4 Low: 5/8
Name to be embroidered_______________________________________________________
Name to be embroidered_______________________________________________________
Cost_______________________
Cost_______________________
Cost_______________________
Cost_______________________
Cost_______________________
Cost_______________________
Cost_______________________
S&H_______________________
Tot.
Cost_______________________
Tot. Tot. Tot. Tot. Tot. Tot. Tot.
By what date do you need your order________________
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