Ella-Broidery Order Form

Name

Address

City, Zipcode

Telephone Number

E-mail address

Specifications		Price
Embroidery blank
Brand
Name
Color	Size
Design	Position: (such as Left chest, right chest, center back)
Personalization ($5 for set-up - if multiple shirts with same text, only charged once)
Delivery Will pick up ______________________________________________ Mail to __________________________________________________ __________________________________________________ mailing is by USPS priority mail $5 for one shirt, $10 for 2-4 shirts
Total