PO Box 397, 210 Eastford Road, Eastford, CT 06242

Phone: 860-974-9918         

Email: sales@stillrivermill.com

*Date:___________________               *Please contact us for specific return date requirements

Name: _____________________________________________________________________________

Company: __________________________________________________________________________

Address:____________________________________________________________________________

City:_______________________________________________   State: _________      Zip: _________

Phone: ________________________          Cell:__________________________

Email: _____________________________________________________________________________

*Processing Deposit:______________     *NOTE: On orders over 10 lbs, we require 50% deposit

Type of Fiber: __________________________________           Estimated Weight *: _____________

Number of Bags: ________________                                     Number of Boxes Shipped: _________

Preparation:	_____ Please wash	______  Already Washed
	_____ Fiber Cleaning	______  De-Hairing
Processing:	_____ Carded into Batts _____ Carded into Roving _____ Carded into Bumps _____ Spun into Yarn _____ Rug Yarn _____ Felt	For Yarn Orders Number of Ply: ________ Yarn Weight: __________ Slub Yarn:    ____  Yes    Including Sample: yes no _____ Cones _____ Skeining/Washing   _____________ Skein Size
Other:	_____ Dyeing _____ Weave Rugs _____ Woven Products _____  Knit Products _____  Socks	Details

 Please indicate batch information or other specific instructions on the back of this sheet.

To the best of my knowledge, my fiber is free from foreign materials such as manure clumps, sticks,

burrs, brambles, toenails, candy wrappers, twine, metal nails, chicken feathers, moth balls, grain,

dry feed, shoes, dryer sheets, show ribbons, or any other odd materials that you do not want included

in your finished fiber.

CUSTOMER SIGNATURE:  _____________________________________________