Custom Cushion Order Form Customer PO#*Place By:*Sold To:*Ship To:*Mailing Address*City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip*Needed By:*Quantity:*Ship Via:*Our TruckWill CallFreight Co.UPSConstruction*Inside HemSingle WeltBoxed/Inside HemBoxed/Double WeltCushion Style*ChanneledButton TuftedCross StitchQuiltedCustom (Please upload drawings at the end of this form)Buttons*No ButtonsWhite PlasticFabric CoveredFilling*100% Fiber100% Foam50/50% Fiber/Foam WrapTies*NoneFabricVelcroFabric/VelcroLength (In Inches)*FabricColor Number/NameCustomer Supplied FabricYes Please indicate the location of ties, if applicable. Download the cushion diagram below and upload the completed diagram with the uploader at the end of this form. Please upload any custom drawings, fabric images, examples and/or the Ties Location Diagram here.Please upload any custom drawings, fabric images, examples and/or the Ties Location Diagram here.