CAPT'N TOM'S ARTWORKS

POCKET LOGO INSTRUCTION FORM

Mail To:

CAPT'N TOM'S ARTWORKS

111 NORTH STUART STREET

BALTIMORE, MARYLAND 21221 USA

Print this form from your computer, complete and send via regular mail. E-Mail instructions or questions to: CAPTNTOM@BCPL.NET or phone (410) 391-2633

REQUEST FOR A CUSTOM POCKET LOGO WITH MY T-SHIRT ORDER

My Name: ___________________________________ Date: ____________________

Business Name __________________________________ My Title:_______________

Street ____________________________________________

City, State, Zip _____________________________________

Phone: _______________________ Fax: _________________________

E-Mail: _______________________ URL: ________________________

Logo Info: _________________ Color Choice: ________________

Wording:________________________________________________________

By signing I acknowledge that printing is being done at my direction and release Capt'n Tom's Artworks from liability regarding copyright or trademark dispute. Required Signature: __________________________

Include instructions, attach sample or make sketch BELOW. Use additional sheet if necessary.

CAPT'N TOM'S ARTWORKS PROVIDES YOU WITH A PROOF PRIOR TO PRINTING.

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