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Pattern Identification Request Form


Your Contact Information

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Customer ID:

Optional, if available
First Name:
Middle Initial:
Last Name:
Street Address:
Street Address 2:

Apartment, Building, Floor, etc
State or Province:
Zip/Postal Code:
Email Address:

Re-enter Email Address:

Contact Phone:
NOTE: Fields marked with an asterisk (*) are required.
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Please include the following in your email. If you don't know the following, that's ok! Anything you can provide may help us identify your piece.

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* Please add at least one pattern before submitting.

* Please complete the required fields in each pattern before submitting.