Head to Toe

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Upon the decision to purchase an embroidered item from Head To Toe Uniforms Inc., the customer is required to print and fax in this form with their signature to
416-783-1015.

Please fill out the following fields:

Name:
Company:
Address:
City:
Province/State:
Postal/Zip Code:
Daytime Phone:
Evening Phone:
Fax:
Email:

Name To Be Embroidered	Garments To Be Embroidered

Name and Signature

Name(Please Print):	__________________________________
Signature	__________________________________

Order Number
Date of Order
Notes:

Please Fax this form to 416-783-1015 to complete your embroidered item order.

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HEAD TO TOE UNIFORMS INC. TOLL FREE 1-888-785-1884