EMBROIDERY CENTRAL ORDER FORM
If you do not wish to order on-line you can print out this order form, fill it in, and:
Fax it to us on: 02 4321 1007,   Phone us on: 02 4321 1005, or Post it to us at: PO Box 1633 Gosford NSW 2250

Product Colour Name for
monogramming		 Lettering Style Design Thread
Colour		 Price
             
             
             
             
             
             
             
Add postage and handling    
TOTAL PAYABLE   

METHOD OF PAYMENT
  Mastercard   VisaCard   Cheque or Money Order
Cardholder's Name  
Credit Card No.  
Expiry Date  

ORDERED BY

Name: ________________________________
Address: _____________________________
City: __________________________
Postcode: __________
Phone No: _________________
email: _____________________
 
DELIVER TO

Name: ________________________________
Address: _____________________________
City: __________________________
Postcode: __________

Message for free giftcard:  _________________________________________________
___________________________________________________________________________________

EMBROIDERY CENTRAL
Shop 6 Gosford Central Plaza
153 Mann St Gosford 2250 NSW AUSTRALIA
Phone/Fax 02 4321 1005
email:sandra@emb.com.au
www.emb.com.au
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