Name:
Company:
Address:
City:
State:	Zip:
Phone:	() - ext.
Fax:	() -
E-Mail:
Design Name:
Date DESIGN Needed (mm/dd/yy):
Applicable Discounts  select..... COUPON (MUST INCLUDE # FOR DISCOUNT) ETA MEMBER DISCOUNT FIRST TIME CUSTOMER FIRST TIME (freeembroiderystuff.com) NNEP MEMBER

Digitize for:	Select... cotton poly/cotton corduroy pique poplin Label fleece satin twill quilted wool	other:
Item:	Select... finished hat jacket shirt sweatshirt	other:
Machine:
model:
autotrimmers:	Yes No
Design Size:
max height:
	OR
max width:
min letter ht. =	.20"
Disk Format:	Select... Tajima Barudan Brother Melco Toyota ZSK Happy
Colors:
number of colors:
color change details:
Delivery:	E-Mail (free) Priority Mail UPS-overnight
Additional Instructions:
Submit Graphic File:
Please let us know how you will submit your image to us: Select... file upload mail fax
DESIGN QUOTES WITHIN 1 BUSINESS DAY  (Monday-Friday, excluding weekends & holidays)
Step One: