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QUOTE # (If you've already gotten a quote)

NAME:

EMAIL:

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PAYMENT METHOD

CREDIT CARD NUMBER

EXPIRATION DATE

LAST 3 DIGITS ON BACK
(FOUR IF AMEX)

CITY:

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ATTACH SAMPLE ARTWORK / SKETCH / IDEA

QUANTITY:

EMBROIDERY COVERAGE: Check One
	Less than 100% embroidery
	100% embroidery

Date you need patches in-hand

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