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First Name
Last Name
Email Address
Phone Number
Company
Sales Rep
New Customer
Dave Markusic
Deb Kats
John Oneill
Mark Grover
Russ McKinley
6-8
10-12
14-16
SM
MED
LG
XL
2XL
3XL
4XL
5XL
SIZES
& COLOR
APPAREL
Please carefully complete this entire form before submitting your request. Thank You.
ITEM STYLE
Please Choose an Item
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Hi Visibility Vest
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Tee Shirt
Tee Shirt (pocket)
Long Sleeve Tee
Long Sleeve Tee (pocket)
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Dress Shirt
Polo Shirt
Tank Top
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Sweatshirt
Sweatshirt (kangaroo pocket)
Hooded Sweatshirt
Hooded Sweatshirt (kangaroo pocket)
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Denim Jacket
Leather Jacket
Pro Satin Jacket
Wool/Leather Jacket
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ITEM COLOR
Call to Confirm Availability
Please Select One
NEW ORDER
REPEAT ORDER
Please Select One
SCREEN PRINT
EMBROIDERY
Please Select One
IMPORTED
USA MADE
ARTWORK & POSITIONING
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Please choose a location for imprinting (multiple choices allowed)
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Left Chest
Full Front
Right Chest
FRONT COLORS
Upper Back-Nape
Full Back
BACK COLORS
Left Sleeve
Right Sleeve
SLEEVE COLORS
QUOTE REQUEST
STARS AND STRIPES SILKSCREENING & EMBROIDERY