Custom Design Purchase Agreement Form - A Wish Come True (Page 2 of 2) in pdf

Custom Design Purchase Agreement Form - A Wish Come True Page 2

Custom Performace Apparel

Purchase A greement

( page 2 o f 2 )

Credit C ard I nformation

Credit c ard i nformation i s r equired b efore y our s ample i s c reated.

Your c redit c ard W ILL N OT b e c harged u nless y our c ustom d esign o rder i s c ancelled a fter y our s ample i s

made. A ny o utstanding d esign a nd s ample f ees w ill t hen b e c harged t o t his c ard.

Name o n C ard_______________________________________________________

Organization/Company _ ______________________________________________

Billing A ddress _ ____________________________________________________

City, S tate, Z ip______________________________________________________

Phone_____________________________________________________________

Email______________________________________________________________

Credit C ard # _______________________________________________________

Exp. D ate_______________

Signed C onfirmation

I h ave r eceived, r ead a nd u nderstand t he 2 p age p urchase a greement. I u nderstand t hat t he c redit p ayment

information l ist w ill b e u sed i f o utstanding d esign o r s ample f ees a re o utstanding.

Acceptance S ignature _ ________________________________________________

Date _ ______________________________________________________________

2530 Pearl Buck Road, Bristol PA 19007

phone 800-755-2248 | fax 800-7559360

Custom Design Purchase Agreement Form - A Wish Come True Page 2