Fill Out Form and Submit, or Print from your browser, Fill Out, Fax Form & Artwork to 941-353-1244

R.E.Humbertson Embroidery Designer Naples, Florida 34117
Phone: (941) 353-1244
Fax: (941) 353-12444
E-Mail: [email protected]

Digitizing/Service Order Form

Date
Company Name
Contact: Person
Street Address
City State Zip
Phone # FAX # E-Mail

Service: Type Of Service:

Design Information:
P.O. # Date Needed #
Design name:
Shipping: Other:
Size: HeightWidthUnits:
Item/Material To Be Embroidered:
Will This Design Be Used On Hat Frame?
Machine Type: Trim Commands:
Additional information:


Number of Colors:

Color Information: (please describe each color separation and coverage area)

Color 1:Describe area:
Color 2:Describe area:
Color 3:Describe area:
Color 4:Describe area:
Color 5:Describe area:
Color 6:Describe area:
Color 7:Describe area:
Color 8:Describe area:
Color 9:Describe area:
Color 10:Describe area:
Color 11:Describe area:
Color 12:Describe area:
Color 13:Describe area:

Customer assumes all responsibilities for trade marked/copy written materials.

After form is completed: 1. Click "Edit" on your browser, Select All, "Copy" to clipboard (Ctrl+C) Click the mail icon located in the lower left area of form and an Email message will be generated. Type "Order and your name" in the "Subject" box, Click in the "Message" area and then "Paste" (Ctrl+V) the contents of the clipboard here. Attach your art file, then Click "Send". ---OR--- 1a. Click the submit button, Click the mail icon and a message will be generated where you can attach your art file,then send. ---OR--- 1b. If your browser doesn't support "mailto" forms or if you prefer just print Order Form from your browser, fill out form, then fax or mail along with your art file.E-MAIL

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Thank you for your business!

EMBROIDERY DESIGN ORDER FORM