Carolace Embroidery Co., Inc.
501 Broad Ave., Ridgefield, NJ 07657
(201) 945-2151  Fax: (201) 886 2212

Date received:

This order requires:

Designing and Punching

Customer order number:

Bill To:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX

Ship To:

Check if the same
Will advise

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX

Salesman's name:

No.

Terms:

Ordered by:

Date promised:

Ship via:

Style number:

Quantity ordered:

Description - (color & no.):

Price:

Dates of shipments & quantities:

Special instructions:

Fabric type:

Fabric color:

Fabric width:

Face (attach swatch):

Customer account number:

Carolace order number:

Dept code:

Credit approval by and date:

ST.

Order number:

S.R.

Yield check:

Yields Maching Type:

10
15
21

Repeat:

Number of match:

X-out:

Special instructions - (Yarn Color & Type) Bobbin

(To be filled out by salesman)
Salesman and #:

Customer:

Ship via:

Order number:

Style number:

Enter date:

-- mm/dd/yy

(To be filled out by production manager)
Approx. Delivery Date: