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Customer on file (Reorder)

CUSTOMER SHIP TO:

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CUSTOMER BILL TO:

Same as Ship To:

Customer ID#:

Company Name:

Contact Name:

Address:

Address 2:

Suite:

City:

State: Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Non U.S. State

Zip:

Tel:

Tel 2:

Fax:

Cell:

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ADDED DROP SHIP ADDRESS:

Ship Blind:

Customer ID#:

Company Name:

Contact Name:

Address:

Address 2:

Suite:

City:

State: Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Non U.S. State

Zip:

Tel:

Tel 2:

Fax:

Cell:

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PAYMENT INFORMATION: please select Cash Check Visa Master card Amex Discover Net Terms Pre-Pay (Proforma)

Deposit Needed:

CREDIT CARD INFO:

Card Number: Expire Date: Security Code:

Amex 4 Digit Security Code:

Name On Card: Company On Card:

Card Bill To Address: City: State: Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:

ORDER DATA:

Po Number: Sales Rep:

Due Date: Cancell Date: Dated Event: In Hand Date:

Garment Type: Garment Color:

TieDye Design:

SHIPPING INFO: PC users hit control to select more then one option.

                              MAC users hit command to select more then one option.

Ups Fedex Post Office Trucking Company Out Of Contry (Canada, Ect) Commercial Invoice Ground 3-Day 2-Day Next Day Standard Next Day Priority Rush - Trucking Service Ship Blind (No Eye-Dye info)

ARTWORK : PC users hit control to select more then one option.

                      MAC users hit command to select more then one option.

New Artwork On File Add To Art Art Change Add Name Drop on Art Emailing Art To art@eye-dye.com

Use Previous Artwork: (will require Customer confirmation of correct art)

Print Colors Front:
Print Colors Back:
Print Colors Left Chest:
Print Colors Left Sleeve:
Print Colors Right Sleeve:
Print Colors Nape:
Print Colors Left Side Body:
Print Colors Right Side Body:

LOCATION OF PRINT: PC users hit control to select more then one option.

                              MAC users hit command to select more then one option.

Full Front Full Back Left Chest Right Chest Left Sleeve Right Sleeve Pocket Print Above Pocket Print Nape (Back Of Neck Area Front Left Bottom Front Right Bottom

SPECIAL INKS: PC users hit control to select more then one option.

                              MAC users hit command to select more then one option.

Gel Glow Glitter Crystal Foil Puff Rhinestones Flock Burnout Other See Notes

Special ink notes

OTHER CHARGES:

Artwork --------------- $30.00 / HR

Film ------------------- $10.00 / FT

Screen ---------------- $20.00 / EA

Sample Print ---------- $25.00 / Color

Color Change --------- $10.00 / EA

Sample Tie-Dye ------- $25.00 / EA

Enter Style, Description, Size,Quantity Ex:::: Tee,Distressed Peacesign,SM,144 Ex:::: Tee,Distressed Peacesign,MD,144 Ex:::: Tee,Distressed Peacesign,LG,144