Custom Linen Service
14332 Wadkins Avenue
Gardena, California 90247
Phone: (310) 675-8200 Fax: (310) 295-1440

ORDER FORM
Print and Fax or Mail your Orders
Order Date:________________________________
Date Needed:________________________________

Billing Information:
Name: _______________________
Address: _______________________
_______________________
Phone: _______________________
Fax: _______________________
Ordered by: _______________________
Email: _______________________
Shipping Information:
Name: _______________________
Address: _______________________
_______________________
Phone: _______________________
Fax: _______________________
Please check here
if the shipping address is a residence:  ___

Method Of Payment
___  Prepay (check or money order enclosed)
___  Visa     ___  Mastercard
Card # ___________________________   Expiration: ________

Full Name on Card: _______________________________________________________

Any Quantity Under 6 pcs.. Add A 50% Cutting Charge

QuantitySizeColorFabric
    
    
    
    
    
    
    
    

Shipping Options
Please specify:    ___ Ground  ___ 3 Day  ___ 2 Day AM  ___ Next Day Air  ___ Priority Mail