Request for Order

Company Name

First Name

Last Name

E-Mail Address

Re-type E-Mail

Phone No.

FAX No.

Order PO#

Design Name
Design Requirements

No. of Colors

Which color(s)
(mention multi colors with "," i.e yellow,red,blue,green)
Sizes
In Inches In Centimeters

Width

Height
Fabrics / Material

Hard

Soft

Plush

Location

Format Needed

Finished On

 (enter finished date like "01-01-06")

Comments

Send Sample
(If any)

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