Print this form out using the "print" function on your browser. Fill it out and submit it via fax or mail to:
North American
Embroidery
Fax: (775) 322-9588
435 Kietzke Lane
Reno, NV 89502
Attn: Karen
Customer Name _____________________________________________________________
Name on article if different than above _____________________________________________
Address __________________________________, (City/State/Zip) ____________________
Phone (___) ____________ Alternative phone (___) ____________ Fax (____)____________
Sizes available S M L XL XXL XXXL (Indicate below)
| QTY |
ITEMS |
SIZE | UNIT PRICE | TOTAL |
| Deluxe Jacket #J753 Navy/Jade | $40.00 | $ | ||
| With back emblem | $20.00 | $ | ||
| With name (specify above) | $ 5.00 | $ | ||
| Standard Jacket #JP70 Navy | $28.50 | $ | ||
| With back emblem | $20.00 | $ | ||
| With name (specify above) | $ 5.00 | $ | ||
| RVF golf shirt with logo White | $24.75 | $ | ||
| With name | $ 5.00 | $ | ||
| RVF golf shirt with logo Navy | $24.75 | $ | ||
| With name | $ 5.00 | $ | ||
| TOTAL | ----- | --------- |
| Payment in the amount of $__________is enclosed in the following form: |
| Personal Check |
| VISA or Master card (only)
Card #______________________________ Expiration date ____________ Signature
____________________________________________________ |