Hello & Happy November to you!

My name is Summer Sen & I am your new account representative here at Anita Goodesign. As much as I would love to speak to you to say hello personally, I know it’s the busiest season of the year for your store! As your new account representative, I wanted to offer you 15% off for your first purchase with me November 1st - 16th. No matter how big or small, this is the time to bundle up and get ready for the holidays! It’s time to make a list & check it twice! Keep in mind that our wonderful workshops have been proven to be successful across the country. Let me know when you need to get scheduled! Please feel free to contact me with any questions you may have. I am very glad to be a part of helping your business grow. Hope to talk to you soon!

Summer SenAccount RepresentativeTel: (704) 206.1288Fax: (704) 206.1574E-mail: ssen@anita-goodesign.com

Name: _______________________________________________________________________________

Date:_________________________________________________________________________________

Phone #: _____________________________________________________________________________

E-mail: _______________________________________________________________________________

Store Name & Address: ______________________________________________________________

_______________________________________________________________________________________

Fill Out The Form Below To Save 15% On Your Next Order!Expires November 17th, 2013

Fax this coupon & your order form to (704) 206-1574. Offer expires 11/17/2013. Offer not valid with any other promotion.

EMBROIDERY DESIGNS • EVENTS • EDUCATION

TMTM

1

Anita Goodesign Inc. Wholesale Order Form / November 2013 Page 1/5

____Advent Calendar 146AGHD____African Animals 57AGHD____All That Jingles 201AGHD____Americana 142AGHD____Anita’s Lace 21AGHD____The Ascension 109AGHD____Audrey’s Roses 58AGHD____Autumn Harvest 27AGHD____Autumn Harvest 2 100AGHD____Autumn Monogram 50AGHD____Beach Retreat 10AGHD____Beach Tile Scene 143AGHD____Big Butterflies 116AGHD____Big Cats 56AGHD____Birdhouses 43AGHD____Boho Flowers 60AGHD____Bridal 46AGHD____Celestial 06AGHD____Charmed Life 94AGHD____Christmas Elegance 01AGHD____Christmas Elegance 2 102AGHD____Christmas Ribbons 147AGHD____Christmas Tree Skirt 170AGHD____Christmas Trios 203AGHD____Christmas Whimsy 02AGHD____Christmas Village Tile 144AGHD____Connecting Autumn 167AGHD____Connecting Flowers 141AGHD____Corners and Borders 182AGHD____Country Church Tile 137AGHD____Country Kitchen 39AGHD____Covered Bridge 99AGHD____Crane Tapestry 164AGHD____Crazy Cats 23AGHD____Crazy Quilt Shapes 214AGHD____Dinosaurs 17AGHD____Dragon Tile Scene 133AGHD____Dragonflies 2 121AGHD____Entering Autumn 225AGHD____Fancy Reflections 218AGHD____Fantasy Floral 178AGHD____Floral Tile Scene 40AGHD____Footprints in the Sand 175AGHD____Free Standing Lace 206AGHD____Halloween 28AGHD____Halloween Applique - 126AGHD____Haunted House 66AGHD____Herb Garden 162AGHD____Holiday Lace 36AGHD____Holiday Monogram 198AGHD____Home Tweet Home 208AGHD____La Cucina 63AGHD____Letters to Santa 166AGHD____Lighthouses 49AGHD____Lords Prayer - 152AGHD____Musical Instruments 190AGHD____Nativity Tile Scene 103AGHD

____Nautical 231AGHD____Nutcrackers 172AGHD____Paisley Daze 38AGHD____Pansy Monogram 45AGHD____Peacocks 119AGHD____Peacock Tile Scene 120AGHD____Perfectly Paisley 204AGHD____Pledge of Allegiance 212AGHD____Puzzle Lace 62AGHD____Realistic Flowers 150AGHD____Red Hats 48AGHD____Ribbon Romance 07AGHD____Roosters 157AGHD____Rosemaling Christmas 220AGHD____Santa for all Seasons 129AGHD____Santa’s Ride 69AGHD____Santas Visit - 124AGHD____Serenity Garden 217AGHD____Serenity Prayer 160AGHD____Shellscapes 122AGHD____ Sleigh Ride 52AGHD____Snow Fun 105AGHD____Snow Globes 53AGHD____Snow People 153AGHD____Snowmen for all Seasons 74AGHD____Snowy Village USA 18AGHD____Songbirds 156AGHD____Southwestern 15AGHD____Southwestern Sand Art 139AGHD____Sparkly Snowmen 33AGHD____Sport Fishing 210AGHD ____Stuffed Animals 47AGHD____Stuffed Ornaments - 149AGHD____Thanksgiving Greetings 168AGHD____The Hunt 24AGHD____The Reef 59AGHD____Tiger Tile Scene 140AGHD____Trick or Treat 51AGHD____Tropical Fish 22AGHD____Tropical Leaves 11AGHD____Tuscany 20AGHD____Tween Cutie’s 41AGHD____Victorian Christmas 228AGHD____Victorian Monogram 26AGHD____Victorian Monogram 2 107AGHD____Viva La France 13AGHD____Wild Roses 108AGHD____Wild West 44AGHD____Wine Country 158AGHD____Winter Friends Tile 132AGHD____Winter Monogram 55AGHD____Winter Wonderland 03AGHD____Zen Garden 113AGHD

Full Collections

Please fax this form to 704-847-2251

Phone: 704-708-9277All prices listed are wholesale

FOR DEALERS ONLY.

Buy 6 of any one design, get one free of that design - Red type indicates new this month This Page - Retail $69.95 - Wholesale $35.00

____Antique Butterflies 151AGHD____Autumn Cutwork 98AGHD____Autumn Cutwork Medallions 123AGHD____Autumn Sampler 128AGHD____Blackwork 224AGHD____Butterfly Cutwork 115AGHD____Canterbury Collection - 70AGHD____Christian Cutwork 114AGHD____Christmas Cutwork 97AGHD____Christmas Cutwork Medallions 130AGHD____Christmas Reverse Cutwork - 229AGHD

____Classic Cutwork Blocks 199AGHD____Cutwork 61AGHD

Vintage /Heirloom Collections

____Asian Fusion - 76AGHD____Blue Jays 90AGHD____Christmas Fashion - 95AGHD____Christmas Fashion 2 - 131AGHD____Christmas Fashion 3 - 148AGHD____Cowboy Couture - 85AGHD____Designer Roses 75AGHD____Designer Roses 2 - 78AGHD

____Fashion Paisley 93AGHD____Glamour Rocks - 83AGHD____Hummingbirds 91AGHD____Natures Jewels - 81AGHD____Nouveau Birds & Leaves 88AGHD____POSHabilities - 87AGHD____Sugar & Spice 86AGHD____Urban Boho - 80AGHD

Fashion Collections

____Asian Quilt 136AGHD____Baltimore Quilt - 110AGHD____Botanical Impressions 232AGHD____Butterfly Quilt - 117AGHD____Christmas Quilt 145AGHD

____Harvest Quilt - 127AGHD____Nursery Quilt - 112AGHD____Quilters Flowers 65AGHD____Quilters Paradise 54AGHD

Quilting Collections

____Baltimore Revisited 180AGHD____Blanket Stitch Baby 189AGHD____Blanket Stitch Xmas Blocks 174AGHD____Butterflies and Bees 191AGHD____Christmas Mirror Blocks 200AGHD____Christmas Quilt Blocks 165AGHD____Classic Trapunto 215AGHD____Confetti Flowers 216AGHD____Confetti Holiday 230AGHD____Dogs and Cats 184AGHD____Faith Quilt 177AGHD____Fancy Feathers 226AGHD____Floral Foundations 194AGHD____Folded Fabric Quilt Blocks 161AGHD____Free Motion Xmas 192AGHD____Halloween Mirror Blocks 195AGHD ____Halloween Quilt 196AGHD____Jelly Roll Quilt Blocks 163AGHD____Modern Free Motion 202AGHD____Mylar Christmas 221AGHD____Mylar Spring 211AGHD____Navajo 188AGHD____Oodles of Doodles 205AGHD____Pop Art 209AGHD____Quilters Dream - 154AGHD____Quilters Dream 2 - 155AGHD

Mix & Match Quilting Collections____Quilt for All Seasons - Autumn 169AGHD____Quilt for All Seasons - Spring 183AGHD____Quilt for All Seasons - Summer 186AGHD____Quilt for All Seasons - Winter 176AGHD____Rose of Sharon 171AGHD____Shadow Work 223AGHD____Support the Troops 213AGHD____The Great Outdoors 185AGHD____The Orient 179AGHD____Time in a Garden 219AGHD____Traditions 181AGHD____Trapunto Xmas 193AGHD____Trapunto Notions 227AGHD____Victorian Quilt 207AGHD

____Deck the Halls 104AGHD____Entredeux 222AGHD____Estate Collection - 71AGHD____Floral Cutwork 135AGHD____Hemingway Collection - 72AGHD____Handstitched 159AGHD____Homespun Christmas 125AGHD ____Vintage Borders - 79AGHD____Vintage Elegance 173AGHD____Wellington Collection - 73AGHD

Store Name: ________________________________Contact Person: ________________________Address:___________________________________City:_____________________State:________ Phone: ____________________________________ (no zip needed)

(NOTE: New prices started Feb. 1st, 2013)

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Anita Goodesign Inc. Wholesale Order Form / November 2013 Page 2/5

____3D Flowers 101MAGHD____American Biker 38MAGHD____Anita’s Minis 131MAGHD____Apples 35MAGHD____Asian 15MAGHD____At the Zoo 104MAGHD____Barnyard 08AGHD (*mini)____Butterflies 19MAGHD____Butterfly Lace Basket 21MAGHD____Chinese Zodiac 107MAGHD____Christmas Curls - 100MAGHD____Christmas Curls 2 - 115MAGHD____Christmas Fringe 114MAGHD____Christmas Trees 118MAGHD____Coffee 59MAGHD____Cottage Rose Lace 28MAGHD____Country Angels -24MAGHD____Cupcakes 132MAGHD____Crosses - 70MAGHD____Daisies 12MAGHD____Daisies 2 - 75MAGHD____Designer Animals 135MAGHD____Dimensional Flowers 120MAGHD____Dragonflies 20MAGHD____Eagles 154MAGHD____Fall Splendor 42MAGHD____Falling Leaves - 71MAGHD____Fancy Flowers 40MAGHD____Fashion Coral 61MAGHD____Flamingo Beach 31MAGHD____Floral Scarf Ends 108MAGHD____Folded Fabric Quilt Labels 123MAGHD____Fleur de Lis 151MAGHD____Fresh Fruit 08MAGHD____Fringe Flowers 126MAGHD____Frog Bog 17MAGHD____Funky Fish 129MAGHD____Gaming 137MAGHD____Garden Fairies 41MAGHD____Golf 112MAGHD____Happy Hour 95MAGHD____Happy Trails 16AGHD (*mini)____Hibiscus 33MAGHD____Holiday Tea Towels 91MAGHD____Horses 142MAGHD____Horse Sketches 111MAGHD____In Bloom 64MAGHD____Jacobean -23MAGHD____Jewish Traditions - 73MAGHD____Jolly Holiday 53MAGHD____Jolly Holiday 2 - 62MAGHD____Jolly Holiday 3 - 72MAGHD____Lace Bookmarks - 63MAGHD

____Lace Borders 147MAGHD____Lace Jewelry 30MAGHD____Little Monsters 93MAGHD____Lodge 16MAGHD____Merry and Bright 149MAGHD____Minky Christmas Bears 52MAGHD____Modern Snowflakes 105MAGHD____Mystical Dragons 133MAGHD____Napkin Corners 121MAGHD____Northwoods 58MAGHD____On the Beach 39MAGHD____Outer Space 128MAGHD____Pacific Northwest 127MAGHD____Patchwork Lace 18MAGHD____Penguins and Puffins 57MAGHD____Piglets 97MAGHD____Polar Bears 27MAGHD____Pond Critters 103MAGHD____Produce Party 92MAGHD____Quilt Labels 96MAGHD____Quilted Baby Alphabet 56MAGHD____Reef Fish 60MAGHD____Reindeer 98MAGHD____Safari Adventure 05AGHD (*mini)____Seasonal Scarf Ends 117MAGHD____Sewing Room 55MAGHD____Shells 09MAGHD____Shoes and Handbags 10MAGHD____Shrinky Animals 125MAGHD____Snowflakes 01MAGHD____Snowflakes 2 - 87MAGHD____Snowflake Lace 29MAGHD____Sock Monkeys 145MAGHD____Sports 143MAGHD____Spring Curls 110MAGHD____Stitch Doodles 94MAGHD____Strawberry Blossoms 65MAGHD____Sunflowers 13MAGHD____Sweet Treats 116MAGHD____Teapots 139MAGHD____Teddy Bears 37MAGHD____The Man Pack 76MAGHD____Trick or Treat Snowmen 80MAGHD____Tropical Birds 32MAGHD____Tulips 11MAGHD____Turtles 34MAGHD____Twelve Days of Xmas 99MAGHD____Undies 14MAGHD____Vintage Free Standing Leaves 77MAGHD____Wild West Companion 36MAGHD____Woodland - 89MAGHD

Mini CollectionsBuy 6 of any one design, get one free of that design - Red type indicates new this month

____Ahoy - 23BAG____Aloha 9BAG____Aquarium 1BAG____Ballerina Bears 22BAG____Baseball Bears 24BAG____Bible Stories 30BAG____Bugs 3BAG____Bunnies 25BAG____Butterflies 13BAG____Butterflies 2 - 28BAG____Christmas 15BAG____Construction 4BAG____Dinosaurs 34BAG____Ducks 12BAG____Frogs 18BAG____Giraffes 35BAG____Kittens 17BAG____Lullaby 5BAG____Monkeys 19BAG____Noah’s Ark 8BAG

Baby Collections

Mini Quilting Collections____Charm Pack Quilt Blocks 113MAGHD____ Kaleidoscope Quilts 141MAGHD____Quilt Feathers 54MAGHD____Quilters Snowflakes - 74MAGHD

Mini Vintage/ Heirloom Collections____Days of the week (Chores) 90MAGHD____Days of the week (Antiques) 88MAGHD____Mexican Days of the Week 124MAGHD____Story Time Kids 122MAGHD____Sunbonnet Sue and Sam - 109MAGHD____Sunbonnet Sue Christmas 130MAGHD____Vintage Bookmarks 106MAGHD____Vintage Scarf Ends 102MAGHD

____On the Farm 20BAG____Owls 36BAG____Pandas 33BAG____Patchwork Garden 7BAG____Peacocks 29BAG____Penguins 32BAG____Ponies 27BAG____Princess 2BAG____Puffy Christmas Applique 31BAG____Puppies 14BAG____Sports 6BAG____Tea Party 11BAG____Train 37BAG____Traveler 10BAG____Turtles 26BAG____Vintage 16BAG____Zoo Animals 21BAG

Phone: 704-708-9277Please fax this form to

704-847-2251All prices listed are wholesale

FOR DEALERS ONLY.Store Name: ________________________________Contact Person: ________________________Address:___________________________________City:_____________________State:________ Phone: ____________________________________ (no zip needed)

Mini Mix & Match Quilting Collections____Color Blocking Quilt 148MAGHD____Crazy Quilt 155MAGHD____Fresh Flowers 140MAGHD____Hoot 144MAGHD____Memory Quilt 146MAGHD____Mod Quilts 152MAGHD____Old Time Christmas 153MAGHD____Primitive Christmas 150MAGHD____Primitive Snowmen 134MAGHD____Robots 138MAGHD____Spring Blossoms 136MAGHD

This Page - Retail $34.95 - Wholesale $17.50 (NOTE: New prices started Feb. 1st, 2013)

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Anita Goodesign Inc. Wholesale Order Form / November 2013 Page 3/5

____Accessories 01AGPJ____All Occasion Cards 22AGPJ____Asian Accessories 31AGPJ____Back to School - 04AGPJ____Banners - 06AGPJ____Bundle of Joy 28AGPJ____Christmas Accessories 30AGPJ____Christmas Cards 18AGPJ____Christmas Ornaments 19AGPJ____Christmas Stockings 2 119MAGHD____Daisy Accessories 23AGPJ____Gift Card Holders - 08AGPJ____Halloween 09AGPJ____Holiday Bookmarks 24AGPJ____Joy of Christmas 12AGPJ____Let’s Do Lunch 27AGPJ____More Travel Accessories 17AGPJ____Seeing Double 25AGPJ____Snowflake Accessories 21AGPJ____Spring & Summer Bookmarks 26AGPJ____Stained Glass Ornaments 20AGPJ____Travel Accessories 16AGPJ____Valentines 14AGPJ____Vintage Accessories 13AGPJ____Vintage Christmas Stockings 29AGPJ____Young at Heart - 07AGPJ

Buy 6 of any one design, get one free of that design (excludes Diamond Club and Promotional materials) Red type indicates new this month

-----------Miscellaneous Price Points---------

Anita Goodesign In the Hoop Collections $17.50 ea. $34.95 Retail

____Christmas 08AGSE____Christmas Town 14AGSE____Fantasy Birds 03AGSE____Floral Rings 06AGSE____Foundations 11AGSE____Garden Gate 07AGSE____Geisha 04AGSE____Golden Tapestry 15AGSE____Homestead 12AGSE____Mariner’s Compass 16AGSE____Monograms 17AGSE____Oriental Daydream 05AGSE____Pansies & Parasols 02AGSE____Prayer Garden 09AGSE____The Rose 10AGSE____Tree of Life 13AGSE____Victorian Rose - 01AGSE

Special Editions$50.00 ea. $99.95 Retail

Diamond Club Packets____Diamond Club Starter kits - No charge until sold.

Diamond /Platinum Club Packets

____Platinum Club Starter kits - No charge until sold.

Phone: 704-708-9277Please fax this form to

704-847-2251All prices listed are wholesale

FOR DEALERS ONLY.Store Name: ________________________________Contact Person: ________________________Address:___________________________________City:_____________________State:________ Phone: ____________________________________ (no zip needed)

Quilting Club Packets____Quilting Club Starter kits - No charge until sold.

VIP Club Packets____VIP Club Starter kits - No charge until sold.

____Art Quilts PRE01____Quilting Essentials PRE02 ____Christmas Classics PRE03

Premium Edition Collections$90.00 ea. $179.95 Retail

(NOTE: New prices started Feb. 1st, 2013)

Art of Digitizing DVD Box Set

____$250 each $499 Retail Includes Workbook

Quilting /Platinum Club Packets

____Platinum Club Starter kits - No charge until sold.

4

Anita Goodesign Inc. Wholesale Order Form / November 2013 Page 4/5-----------------Project Series-----------------All of the collections in the Project Series Wholesale Price $17.50 / Retail for $34.95 NEW Pricing

____ Anita’s Card Holder PROJ41____ Autumn Splendor PROJ21____ Book Clutch PROJ45____ Carried Away PROJ40____ Christmas Coasters PROJ49____ Christmas Crazy Quilt Blocks PROJ19____ Christmas Gift Tags PROJ24____ Christmas Napkin Corners PROJ20____ Christmas Pot Holders PROJ43____ Clever Covers PROJ34____ Cupcake Cozies PROJ27____ Cutwork Corners PROJ29____ Dazzling Bracelets & Headbands PROJ26____ Door Decor PROJ38____ Drawstring Bags PROJ50____ Dreamy Eye Masks PROJ15____ E-Reader Cases PROJ08____ Fashion Clutches PROJ01____ Forest Friends PROJ36____ Hobo Handbag PROJ32____ Hoop Pockets PROJ47____ Lace Ornaments PROJ44____ Landscape Quilted Bags PROJ51____ Life’s a Beach PROJ11____ Mini Quilts PROJ30____ Mylar Bookmarks PROJ37____ Notebook Covers PROJ18____ Party Flags PROJ31____ Patchwork Tote PROJ05____ Pocket Purses PROJ23____ Quilted Greetings PROJ39____ Rachel’s Recipes PROJ10____ Retro BBQ PROJ13____ Revers-A-Bowl PROJ33____ Sew Fun PROJ07____ Shadow Work Zipper Bag PROJ48____ Shrinky Flowers PROJ17

____ Stella Bag PROJ42____ Sunbonnet Sue in the Kitchen PROJ04____ Sweet Dreams PROJ12____ Tiny Toppers PROJ28____ Tissue Holders PROJ46____ Trapunto Blocks PROJ14____ Vintage Monogram PROJ25____ Vintage Postcards PROJ35____ Winter Hoops PROJ52____ Zippy Bags PROJ09

Phone: 704-708-9277Please fax this form to

704-847-2251All prices listed are wholesale

FOR DEALERS ONLY.Store Name: ________________________________Contact Person: ________________________Address:___________________________________City:_____________________State:________ Phone: ____________________________________ (no zip needed)

Fabric Kits no longer available for the

project collections.

Buy 6 of any one design, get one free of that design (excludes Diamond Club and Promotional materials) Red type indicates new this month

Anita Goodesign Project Collections $17.50 ea. $34.95 Retail

(NOTE: New prices started Feb. 1st, 2013)

5

Anita Goodesign Inc. Wholesale Order Form / November 2013 Page 5/5

Buy 6 of any one design, get one free of that design (excludes Diamond Club and Promotional Materials - Bold type indicates new this month

-----------------Distributed Products------------------

On May 1st 2011, Anita Goodesign started distributing 2 different design companies’ collections: PJ’s In the Hoop designs andLouisa Meyer Originals. We will be distributing the whole catalog of these 2 companies, however none of the releases will be auto-shipped to your stores. They will be special order only. Our current trade-out policy allows you to trade any Anita Goodesign collection that is auto-shipped or received in Diamond / Quilting/Platinum /VIP Club for a collection of equal value. Since these new companies are not owned by Anita Goodesign, the releases from PJ’s or Louisa Meyer will be not be eligible for trade outs. The reason for this is that they are not auto-shipped or in Anita’s Clubs. All of these releases are special order only and special orders are not available for trade-out. By representing these 2 companies we are giving you new options for designs for your store, since these new companies are not owned by Anita Goodesign we cannot honor the trade out policy.

____Autumn and Beyond Revisited 29PJ____Blessings 23PJ____Build a Bag 02PJ____Build a Blankie - 03PJ____Build a Springtime wreath 04PJ____Build a Table Runner 24PJ____Build a Wedding Ring quilt 05PJ____Christmas Musings 06PJ____Class Act Desk Set 07PJ____Coffeehouse 08PJ____Crazy Legs 32PJ____Crescent Santa 53PJ____Design a Shade 35PJ____Dinner is Served 09PJ____Dinner is Served Again 38PJ____Dots ‘n’ Daisies Font 47PJ____Dress Up Time 37PJ____Easter Extraordinaire 49PJ____Expressions Gift Card Holders 10PJ____Framed 51PJ____From the Pumpkin Patch 11PJ____Frosty the Star Man 01PJ____Garden Snow Lady 58PJ ____Get It Together 41PJ____Get It More Together 54PJ____Go Crazy Quilted Wall Hanging 12PJ____Happy Fall 55PJ____He Loves Me 25PJ____Have a Heart 34PJ____Imelda meets Sue 13PJ____Jack -o-Greeter 42PJ____Joy Boy 31PJ____Keepsake Crazy Quilt Box 14PJ____Let It Snow 45PJ

____Little Charmer 46PJ____Merry Everything 43PJ____May and More 15PJ____Mom goes to School 16PJ____No Flagpole Required 17PJ____Ol’ Sol 18PJ____Old Glory- A 52PJ____Our Glorious Flag 39PJ____Patchwork Galore 30PJ____Plant a Bloom 36PJ____Ready For Santa 56PJ____Seeing Double for Winter 19PJ____Sooo Big 26PJ____Special Occasion Bottle Huggers 50PJ____The Chameleon 27PJ____The Stoolie 48PJ____Totally Toteable 20PJ____Totally Totable for Winter 21PJ____To your Health 33PJ____Tree-mendous X2 - 22PJ____Tree-mendous 3D - 44PJ____Victorian Skates 40PJ____Well Dressed Mantle 28PJ ____Winter Delight 57PJ

Pj’s In The Hoop Collections $17.50 ea. $34.95 retail

____Floral Inserts 08LM____Lace Collection 05LM____Perfume 1 10LM____Spring Brides 07LM____Tassels Galore 01LM____Lace Crosses 06LM____Martha’s Wedding Lace 12LM

Louisa Meyer Originals$35.00 ea. $69.95 retail

____Carousel Ponies 03LM____Gift Rose 02LM____Martha’s Christmas 2 15LM____Martha’s Christmas 3 14LM____Martha’s Lace Angel 13LM____Pretty Birds 09LM____Something Pretty 11LM

Louisa Meyer Originals$17.50 ea. $34.95 retail

Phone: 704-708-9277Please fax this form to

704-847-2251All prices listed are wholesale

FOR DEALERS ONLY.Store Name: ________________________________Contact Person: ________________________Address:___________________________________City:_____________________State:________ Phone: ____________________________________ (no zip needed)

(NOTE: New prices started Feb. 1st, 2013)