stocking form

Fill and Print Order Form

20 inch Quilted Stocking with Applique and Embroidered Name

CHRISTMAS STOCKING ORDER FORM

* Indicates required field

Stocking Background Color Preference *

Embroidered Name *

Embroidery Thread Color Preference *

Applique *

Your Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Comments or notes: *

I hereby give Debbie Bowers and The PolkaDot Squirrel, permission to reprint and use photographs of the stocking designed for me. They have complete control to alter or adjust any photos, as is necessary for their artwork, advertising and/or show materials.

I give photographic use of my stocking created by Debbie. *

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By checking this box I digitally sign off and verify the above information is correct. *

Verified

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The PolkaDot Squirrel • Debbie Bowers • polkadotsquirrel246@gmail.com • 602-628-6475
434 Rue Martel Bonne Terre, MO 63628
Shop for more at: etsy.com/shop/ThePolkaDotSquirrel