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Request a Sample
*
indicates a required field.
Request By:
*
Phone:
(
)
ext:
*
Ship To:
Attention:
Fax:
(
)
*
Address:
*
Email:
*
City:
*
State Abbr:
Sidemark:
*
Zip:
-
SAMPLES TO BE SENT
*
PATTERN #
*
PATTERN NAME
*
QTY.
1
2
3
4
5
Shipping
will be via least expensive method. If you prefer the samples expedited, it must be noted below along with ship method and account number.
Size of sample
will be pre-cut memo sized samples (approx 8x11). If you prefer a sample exceeding this size it must be noted below.
Notes: