Printable Mail Order Form

Platinum Embroidery
1930 Diamondback Drive
Wickenburg, AZ 85390 

Email Customer Service:
customerservice@platinumembroidery.com

Print this form, fill it out,  and snail mail it to the address above with your payment enclosed.  Make checks or money orders payable to Platinum Embroidery.  U.S. funds only.  Your designs will be emailed to you within 24 hours of receipt of payment.  If you do not receive them within a reasonable time, please send a message to the email address above (we may be having problems with your email address).   

Name: Date:
Address:
Email:
City:
State:
ZIP:
Phone:

Please circle desired machine format:
ART, DST, HUS, JEF, PCS, PES, SEW, SHV, VIP, XXX

Design or Collection Name

Price

   
   
   
   
   
   
   
   
If you would like your designs on a CD please enclose an additional $12  
   

Order Total:

 


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