Designer Order Form

Customer Information

Please Note: All cut fabric orders are non-returnable. You are responsible for the data entered on this form. Please make sure all fabric style names and numbers are accurate before submitting this form. TDI is not responsible for fabric orders placed incorrectly on this form.

Your Full Name:

Billing Address:

Address 2:

City:

State:

Zip Code:

Phone:

Fax:

Email:

Is your Billing Address the same as your Shipping Address?

Yes:

No:

Shipping Name:

Shipping Address:

Address 2:

City:

State:

Zip Code:

Phone:

Fax:

Today's Date:

Date Needed By:

Order#/Side Mark:

Shipping Method:

Order Type	Sample Needed?	Yardage	Pattern Name, Number, Color	Manufacturer

Comments or Special Instructions

You will be asked to pay for any shipping costs incurred in the ordering of any memo samples. When they arrive, your samples can be picked up at TDI. If you would like them shipped to you, you would be responsible for those shipping costs also. If you haven't done so you will need to fill in a release form during your next visit to TDI. Thank you in advance for your cooperation.

Customer Information

Comments or Special Instructions