L.A. Supply Co.

Order Form

Please provide the following contact information:

First name

Last name

Middle initial

Title

Organization

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

FAX

E-mail

URL

Please provide the following product information:

Shade Data:

Name Of Shade:
No.

Reflectance Data:

400nm 560nm

420nm 580nm

440nm 600nm

460nm 620nm

480nm 640nm

500nm 660nm

520nm 680nm

540nm 700nm

Information on the fabric

Substrate:

Blends:

Additional Info:

Information on the dyes and process

Preferred dyestuff class:

Speacial demands: (e.g. fastness requirements, metamerism, etc.

Process: (e.g. exhaust, pad-batch, printing)

Additional Information on the process: (e.g. temperature, liquor ratio)

Return this form to us or call us for further information:

L.A. Supply Co.
13700 E. Rosecrans Ave.
Santa Fe Springs, CA 90670

(562) 404-1502