Date Received: Date Desired:
Customer Name: Phone:
Street Address: City/Town:
State: Postal Code:
Style/color: Size:
Total Square Inches: Cost:
Top Thread Color:
Bobbin Thread Color:
Customer Provided Type
Warm and Natural Soft and Bright Other
Choice Cost/inch:
Customization:
Label Photograph Embroidery
Customization Cost:
Total Cost:
Delivery Mode: Pick Up Delivery Delivery Date: