Date:

Shipping Address

Billing Address (If Different)

Internal Use Only

Attn:

Attn:

New Cust

Company:

Company:

Code

Address:

Address:

Folder

Suite:

Suite:

Payment

City:

City:

P. O. No.

State

State

Logo

Zip Code:

Zip Code:

Design 1

Telephone:

Fax:

Design 2

E-mail:

Website:

Ship Date

Logo Description:

Logo Sent Via:

Order No.

Embroidery Location:

In Hands Date:

Approved

Second Location:

Event Date:

Digitizing

Note:  Place sizes larger than XL on a separate line; add $2.00 for XXL; $4.00 for XXXL; $6.00 for XXXXL (where available)
Visit our color chart at http://www.knuckleheadinc.com/colorchart.htm

Item No.

Item Description

Color

S

M

L

XL

2XL

3XL

Qty.

Price

Total

Order Total Not Including Shipping (or sales tax if shipped to NY); actual shipping charges will be added to your invoice

Shipping

UPS Ground

UPS Next Day

UPS Second Day

UPS Third Day

USPS Priority Mail

Credit Card Information

Card Type:

Card Number:

Expiration Date:

Signature:

Name On Card:

Embroidery instructions and notes: