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Welcome to Patchwork Designs, Incorporated.
We create embroidered patches,
patch programs, activity kits, and embroidered merchandise for
scouting, schools, historical buildings, museums, organizations,
and special events.
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CUSTOM
ORDER PATCH FORM
Change of lettering
on patch
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You can print this form !!!
Please complete this form and mail it
to:
Patchwork Designs, Inc.
8421 Churchside Drive
Gainesville, VA 20155
703-743-9948 PHONE
703-743-9942 FAX
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Name__________________________________________________________________
Address_________________________________________________________________
City____________________________________State_____________Zip_____________
Phone ( )_____________________Referred
By:______________________________
Email Address:___________________________________________________
Discover/Mastercard/Visa# _________-________-________-
________
Expiration Date:_______________Have you ordered before?__________________
Thank you for ordering a custom patch through Patchwork
Designs. A graphic image will be sent to you upon receipt
of this order form.
The pricing below does not include patches
larger than 3 inches, 100% embroidered, satin twill,
or metallic threads. Pricecould be less, depending on
the size of the patch that needs to be revised.
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Please email cheryle@patchworkdesigns.net
Contact us for pricing for larger quantity or larger sized
patches.
50-99 $2.00
100-199 $1.65
Pricing could be cost more depending if the patch has metallic
edge, satin twill, 100% embordiered and the patch size.
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SUBTOTAL
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Regular Shipping & Handling (view
chart)
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Special Shipping ( next day, priority
mail etc)
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TOTAL ENCLOSED
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PAGE 2 of order
Name of customer ordering______________________________________________
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