FROM:    Name: _________________________
                  Address: _______________________
                  City: __________________________
                  St: _____ Zip _____________

SHIP TO:  Ameri-Brand Custom Sewing Department
                   4619 Olive Hwy.
                   Oroville, CA  95966
                   Auth. to Ship # ______ (required)

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(cut shipping label on line above)

Note: After filling out this form,  make a duplicate for your records.

Please fill in this form and place it in the box with your item. We will
inspect your item and call you back with an exact quote. If you agree
to our quote, we will perform the work as agreed. Should you elect
not to have us complete the work, we will send the item back to you
and pay for the shipping costs back to you. Shipping cost to Ameri-
Brand is the customers sole responsibility. Do Not ship your product
without first obtaining an Authorization to ship # at 800-982-6966. Ask
for the Custom Sewing Department.
Date:____/____/____
Name: _____________________________
Address: ___________________________
City: ______________________________
St: _____  Zip _____________
Home:  (____) ____-______
Work:  (____) ____-______ ext. (_____)
Fax:     (____) ____-______
Email: _____________________________

Description of item and requested work to be quoted:
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________