Custom Sock Order Form

(( please print & complete, then fax or mail in ))

Angelo Governale

representative for Lin Mfg. & Design

Company Name: _______________________________ Fax: __________________

Contact Name: __________________________Phone: _______________________

Date: _________________ Email: ________________________________________

Billing Address: _______________________________________________________

Shipping Address: _____________________________________________________

Ship Date: _______________________  Cancel Date: ________________________

( Once the sample is approved, it will take 6-8 weeks for delivery )

(this delivery time will be confirmed after sample is approved)

Payment Options: 

COD (Y/N)  _________  Net 30 ~ Need to send in Credit Application ~

Credit Card #:____________________________ Type of Card: ________________

Name on Card: ___________________________ Exp Date: ___________________

Size	Cost	Quantity
6-12 months	1.92
3-4	1.92
5-6	1.92
7-8	1.92
9-11	1.92
10-13	1.92
13-15	1.92

* Minimum order is 120 pair per size/style with a TOTAL minimum order of 240 pair