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Order Form

Bold Fields Are Required
Name:
Phone Number:
Email Address:
Date:
 
Address:

 
Comments/Questions (not required):
Payment method: PayPal  Email Address:   or   Other (I will email you to discuss payment options)

 See CoylCushion Info if you still need to pick your fabric and embroidery or if you need to check the prices.
Only order #1 is required. To order more than 5 fill another order form or let me know in the comment box & I will email you.
Order Total & Payment Info will be emailed to you when I receive your order form.

Fabric may be purchased and provided by the customer.
A $5.00 fabric allowance is given for fabric provided by the customer.
The price of the CoylCushion will reflect the appropriate allowance.
In the comments section of this order form, describe fabric being purchased or provide link to purchase site before you buy it.

 Embroidery designs not in the Embroidery Gallery may be purchased by the customer.
There are format and size restrictions. Please provide a link to the requested design before you buy it.
Cost of the design will be added to the purchase price of the CoylCushion.

I need to approve the Fabric and/or Embroidery designs before you buy them. Please write 'Custom' on the Fabric and/or Embroidery line(s).
When I receive your Order Form I will email you to approve your request and give you the information needed to send them to me.

Size 1 - Phone Cushion

Size 2 -  Smallest CoylCushion
- 3" less width than regular -
fits KindleKeyboard, KindleTouch naked seated vertical, not horizontal. fits Smallest Kindle naked vertical or horizontal.

Size 3 - Original CoylCushion
- 2" less width than regular
fits KindleKeyboard, KindleTouch with some cases seated vertical, not horizontal. fits Smallest Kindle with a case vertical or horizontal.

Size 4 - Regular Size CoylCushion
- fits KindleKeyboard, KindleTouch horizontal or vertical with cases up to 7.5 inches wide.

Size 5 - Oversized CoylCushion
- fits iPad, Paper Books, Android Tablets.

For Removeable Covers:
Put 'Removable Cover Only - Size needed' (Size 2, 3, 4, 5)
on the Size/Description line and fill out the other boxes as usual

  Fabric # Size/Description: (see above) Quantity Embroidery: put yes or no, If yes add number/description
1.
2.
3.
4.
5.
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