Custom Patches Order Form

QUOTE FORM
Or call 1-866-427-2824 for an immediate and exact price quote

CONTACT INFORMATION

* FIRST NAME:

* LAST NAME:

* BILLING ADDRESS: (Street Address or PO BOX)

* CITY

* STATE

* ZIP CODE

SHIPPING ADDRESS (IF DIFFERENT)

CITY

STATE

ZIP CODE

Please be sure to fill out at least one of the following fields, so that we can quickly contact you.

* EMAIL

* PHONE NUMBER:(Area Code+Number)

DESIGN INFORMATION

ATTACH SAMPLE ARTWORK / SKETCH / IDEA

If sending a vector file: Please remember to embed fonts or convert to curves/outlines. If you do not know how to do this, please provide the name of the fonts used in your graphic. If sending an Adobe Illustrator file: Please send CS3 or earlier.

  QUANTITY*:



  Design HEIGHT In Inches: Design WIDTH In Inches:

IF CIRCULAR, INDICATE DIAMETER

Embroidery Coverage: Check One
	100% embroidery		Less than 100% embroidery

Number of COLORS in your design:

What type of BACKING for your patch?

Date you need your Patches in-hand:

Please provide any additional information that will assist us processing your quote.

*DISCLAIMER: 'CUSTOM PATCHES' assumes that its customers have the right to use all of their designs, including trademarked and/or copyrighted logos sent to us for reproduction. We will assume no liability in any trademark or copyright infringement disputes.

E-mail: sales@custompatches.net. . . . . . . . . . . . Fax: 866-304-7655
Toll Free Phone Number: 1-866-4-A-PATCH (427-2824)
PO Box 777, Bearsville, NY 12409