Online Order Form

Please do not include any credit card information in the form below.  We will contact you shortly after submission of your order. We will confirm your order over the phone and also collect any other needed details, including your credit card information, at that time.  Thanks!

 

* Notates Required Information

Customer Information
New Customer              PO required

First Name:            MI:           Last Name:
*    *

 Company Name, School, or Affiliation:

PO Number:
 
Billing Address:
*
City:                      State:        Zip/Postal Code:       Country:
*  *  *      

  Telephone:                                        Facsimile:                                     Email Address:
( )- - *          ( )- -           *
 
Ship To: (If different from billing information)

Street Address:

City:                     State:       Zip/Postal Code:     Country:
          
 
Payment *
Prepaid Visa / Mastercard
Prepaid Check
Prepaid Money Order
Other
 
Custom Line Embroidery
Includes up to 3 lines of block or script lettering.  $10.00 per piece.
Select a Type Style
Location:
Line 1:       Thread Color:
Line 2:       Thread Color:
Line 3:       Thread Color:
Standard Product Colors:         (Custom product color inquiries welcome)
Black Navy Royal Forest Burgundy Red
 
Product Order
Product Product Color Quantity Unit Price Extended Total
       
   

NET TOTAL: