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DIGITIZING FORM

 

Please fill out the following and submit with your picture, drawing, or design.  Thank you.
You may email it to Embroidasaur by pressing submit at the bottom of the form.

Note:
Not all Blocks have to be filled in.  But in order to process your request for Digitizing, the blocks in bold must be completed or it will be returned or discarded.

    Name:
     
    Organization:
   
    Address (Line 1):
     
    Address (Line 2):
   
    City:
     
   State:                                    Zip Code:
                   
   Phone (no dashes):       
Alternate Phone (no dashes):
                                    
   Consent to the following:
   
I submit this picture, drawing, or design as my own.  I take responsibility for any copyright infringements and understand that if I violate any laws regarding this design, Embroidasaur can refuse digitizing to me or my company.
               I agree      I disagree  
   Signature:
 (Sign after Printing or Type in Full Name if sending by e-mail)
    

   

    Comments:
 

                                            Please press submit to send form via e-mail.
                                    To print, use computer settings to print to your printer.

Send mail to embroidasaur06@yahoo.com with questions or comments about this web site.
For more information or questions about our company, click here: Contact.

Last modified: 08/22/08