Paul Fredrick Quick Fax Order Form
Print this form and enter the style number, color, and price from the catalog, and fill out all of the information below. You may also type in the information and then print out the form. For best results use landscape mode on your printer.
Fax your order form to 1-800-713-3512 or 610-944-6452 outside the US and Canada.
Questions? Call us toll free at 1-800-247-1417 (610-944-0909 for international customers) or send email to Customer Service.
If you run out of spaces provided for the items you wish to order, print out two copies of this order form.
( * items are required to process your order.)
Bill To:
Ship To: (if different)
* Name
Company
*Address

*City
*State
*Zip Code
Country
Phone
Fax
*Email    (example: yourname@aol.com)

Items (1) Size should be indicated: neck-sleeve (example: 15.5-34)
(2) Monogramming available on your choice of left cuff or shirt pocket in 1/4" letters. Colors to choose from are:Navy, Burgundy, White, Black, Charcoal, Dark Brown, Green, Lavender, Light Grey, Red, Royal Blue and Yellow.
Click here to see monogram styles and more information. There is a $7.50 charge Per Shirt monogrammed.
Style # Description Size(1) Color Monogram(2)
 Qty Price Each
Placement
Pocket/cuff		 Style
M1, M2 or M3		 Initials
F, M, L		 Color
$
$
$
$
$
$
$
$
$
$

Please enter your credit card information
Payment Visa  MasterCard 
American Express 
Discover
 
Account:
Expires (MM/YY):
100% Satisfaction Guaranteed.
Your opinion is important to us.
Some of our best suggestions come from you, our customers.
Please enter your comments below.
How did you hear about Paul Fredrick?
U.S.A. Ground Shipping Charges
Up to $25.00 $5.95
$25.01 - $50.00 $6.95
$50.01 - $75.00 $9.50
$75.01 - $100.00 $10.95
$100.01 - $150.00 $11.95
$150.01 - $200.00 $12.95
$200.01 - $250.00 $14.95
$250.01 - $300.00 $15.95
Over $300.00 $16.95

Expedited Delivery Service 2 Day Delivery: Additional $5.00
Overnight: Additional $10.00