First Name 
   Last Name 
Company Name 
    

     Address 
     Address 
        City 
       State AlabamaAlaskaArizonaCaliforniaColoradoConnecticutDelawareDCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
    Zip Code 
     Country 
    

     Ship To Address If Different

          Address 
          Address 
             City 
            State AlabamaAlaskaArizonaCaliforniaColoradoConnecticutDelawareDCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
         Zip Code 
          Country 
  

  Work Phone 
         Fax 
    

      E-mail 
    

   PO Number 

   Special Instructions 

            Batiste   (80yd) 
                                                     Bolt Qt.          Half Bolt 

      White                             
      Winter White                      
      Marble                            
    

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     Voile   (80yd) 
                                                     Bolt Qt.          Half Bolt 

      White                             
      Winter White                      
      Marble                            
      

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     Drapery Linings 
                          Bolt Qt.    Half Bolt      Case

     Econoline           (125yd)                    (500yd)
                   White                       
                   Ivory                       
    

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     Sani-Lining         (125yd)                    (500yd)
                   White                       
                   Ivory                       
    

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     Sani-Therm Suede     (70yd)                    (420yd)
                   White                       
                   Ivory                       
    

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     Blackout             (70yd)                    (280yd)
                   White                       
                   Ivory                       
    

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     PC Challis           (125yd)                   (500yd)
                   White                       
                   Ivory                       
    

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     Cotton Supreme       (125yd)                   (500yd)
                   White                       
                   Ivory                       
    

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     Sateen               (80yd)                    (420yd)
                  White                          
                  Ivory                        

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     Lustre Sateen        (100yd)                   (500yd)
                   White                       
                   Ivory                       
    

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     Interlining Plus     (100yd)                   (400yd)
                   Natural                     
                                             
    

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     Interlining       (100yd)                   (400yd)
                   White                       
                   Natural                     
                 
    

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     Banguard             (100yd)                   (400yd)
                   Ivory                       
      
    

       

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     Cotton Sheer   (150yd) 
                                                     Bolt Qt.         

     White                              
     Natural