Good Jeans Order Form PLEASE PRINT AND INCLUDE THIS FORM IN YOUR ORDER. SHIP TO: Good Jeans 4525 Klingle Street, NW Washington, DC  20016 Please print clearly: NAME_________________________________________________________________________________ ADDRESS______________________________________________________________________________ CITY / STATE / ZIP______________________________________________________________________ EMAIL ADDRESS_____________________________________PHONE____________________________ CONTENTS CHECKLIST: Yes:  [   ]  This is my shipping address also. Yes:  [   ]  Check enclosed: made payable to Kate Fralin for $350 for each jacket. Yes:  [   ]  Jacket enclosed Yes:  [   ]  Scarf enclosed How many Good Jeans Jackets enclosed: 1: [   ]   2: [   ]   3: [   ] Special Instructions: Please tell us how you heard about Good Jeans: Friend: [   ]   Internet: [   ]   Magazine: [   ]   Blog: [   ]   Other: [ _____________________________ ] Good Jeans reminds all customers to expect to receive their finished Good Jeans jacket in 6-8 weeks from receipt of jacket and scarf packages. Good Jeans cannot accept returns on completed jackets due to the custom nature of each product.