Lambs Creek Road

PO Box 506

Mansfield, PA 16933

1-800-788-1122 Toll Free

1-800-525-7339 Fax Orders Only

1-570-662-7515 Local

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Your Kingdom Representative Phone Extension Customer # Invoice #

Table Cover Custom Lettering Verification Form

Ministry Title you want noted on table cover (select one):

/

Messages-To-Go

/ CD & Media Ministry / Welcome Center / No Title (Blank)

Replace Ministry Title with:

Church or Ministry Name as it should appear on Table Cover (include spaces).

Please designate whether you would like the title across one line or two. Limit 35 total characters:

Church/ Ministry name in CAPITAL letters (optional):

Yes, please embroider the name in all CAPS! (Limit 30 characters)

Table Cover Color Selection (select one). ($7.00 charge for anything other than black)

Black / Purple / Blue / Spring Green / Burgundy / Teal
Hunter Green / Red / White / Other – Please specify – Fees will apply.

Thread Color Selection (Select One at no charge.) (Reminder this is for text only, logos are in white unless otherwise specified.).

Black / White / Blue / Gold
Custom Logo ($75.00 charge)

If you want to put a custom logo on your table cover, please send your logo to: .

What file format are you using for your custom logo?

Tiff / GIFF / JPG / PDF / BMP

Standard Dove (free) Would you like to see a proof of your tablecover?

______Yes ______No

A

/ B / C / D / E
F / G / H / I / J

K

/ L / M / N /

O

P / Q / R / S / T

Please select Premium Logo ($35.00)______

*Note Logo done in White thread unless otherwise specified.

Contact Information

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Customer Number Invoice Number

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Organization

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Name

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Address

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City State ZIP

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Telephone Number Date Requested

I, the undersigned, assume full responsibility for the accuracy of the information that I (we) have furnished to Kingdom, Inc., and release them from any liability if any of the information on this form is inaccurately submitted.

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Signature Date