Printable Hat Blocking Order Form

Important Information: Please Read

Blocking Services for Brent Black Hats

Hand blocking services are provided as a courtesy to my clients to help them maintain and care for their Brent Black Montecristi Panama hats. I love my clients. I love my hats. I am happy to continue both relationships for years. I enjoy helping you enjoy your hats.

Blocking Services for Other Hats

For blocking, re-blocking, and other services to unblocked Montecristi hats and non-Brent Black Montecristi hats, call or email before sending a hat. Normally, these services are available ONLY for Brent Black hats. I accept no responsibility for hats sent without my knowledge and/or consent. If I accept the hat, charges are $250 plus shipping.

Information for All Hats

Hats sent without my consent and/or without payment, will be ignored for 60 days then discarded.

Prices do not include shipping.

Release from liability: By sending in your hat, you agree to accept all risk of loss or damage to your hat and you understand that you will not be reimbursed in any way should such loss or damage occur. I will use my best skills to block your hat as instructed below.

Please type in the information in this form and then print it out and include it with your hat. None of the data you enter is sent over the Internet—you can even print it out blank and fill it out by hand if you wish.

	Ordered By
Name:
Company:
Address:
Address:
City:
State:
Zip:
Country:
Phone:
Fax:
Email:

	Ship To (if different than address above)
Name:
Company:
Address:
Address:
City:
State:
Zip:
Country:
Phone:
Shipping Instructions:

	Credit Card Information:
Please charge my:	Visa MasterCard American Express JCB Check Enclosed Money Order Enclosed Prepaid through Online Shopping Cart (if payment is made by check, money order, or through the shopping cart, then the following credit card information is not required.)
Card Number:
Expiration Date:
CVC/CVV:

Desired Blocking Services

Re-block for Brent Black Hats $175 Prepay Includes complete hand blocking and flanging, custom sizing, replace ribbon, replace sweatband.
Re-block + Cleaning for Brent Black Hats $200 Prepay Re-block as above plus cleaning. Cleaning may lighten some sweat stains but will not remove them. Most older hats look a little better after cleaning.
Re-block for non-Brent Black Hats $275 Prepay Call or Email First. Please don’t just send the hat.

Includes complete hand blocking and flanging, custom sizing, replace ribbon, replace sweatband.
Re-block + Cleaning for non-Brent Black Hats $300 Prepay Call or Email First. Please don’t just send the hat.

Re-block as above plus cleaning. Cleaning may lighten some sweat stains but will not remove them. Most older hats look a little better after cleaning.
Evaluate Your Panama Hat $25 Prepay Decide if it can be blocked, or estimate value.

Please note that prices do not include shipping.

	Desired Features
Replacement Style:	Only if possible
Head Measurement:	details
Ribbon:	see choices
Sweatband:	see choices
Other Instructions:

The Panama Hat Company of the Pacific 111 Hekili Street, Suite A-293 Kailua, HI 96734 There is no retail store at this address. (more) Toll Free: (888) 658-6500 Phone: (808) 262-2892 Fax: (808) 262-7725 bbb@brentblack.com

111 Hekili Street, Suite A-293; Kailua, HI 96734 Ph: (888) 658-6500 Fax: (808) 262-7725 www.BrentBlack.com