COM Identification Request

Please fill out our COM Identification Request Form, or download the PDF and fax it into the office.

Customer*

City/State*

Contact*

Fax Number*

Phone Number*

Cox Acknowledgement Number*

Customer P.O. Number*

Fax Back Contact

Who shipped the COM to Cox Mfg.? (Mill, jobber, etc)*

Pattern Name/Number*

Pattern Color*

Description of COM*

Yards Shipped*

COM Type*

Fabric

Cording

Tassel Fringe

Bullion Fringe

Other

If COM tagged with a PO# or for a customer, please provide #/name*

If COM tagged under customer/company name other than name listed above, please provide possible names

Please provide Proof of Delivery

Mail

UPS

FedEx

Other

Name of Reciever

Date of Receiving

Format: MM-DD-YYYY