Custom Patch Order Form

If your proof is accurate and meets your requirements, please complete the following order form. Remember, proof changes are FREE, so if you need to make additional changes to your proof design, let us know and we will make the changes and forward the changed proof to you for approval.

Once we receive your order, we will send you an invoice via email. You can pay with PayPal or credit card. Once payment is received, the order is bound by our Terms and Conditions. Please take a moment to read them. If you have any questions, please feel free to call us.

Order Details

The proof number for my order is:	Proof- Enter the final proof number you wish to order (Ex: Proof-1). If ordering multiple proofs, please list each number separately. (Ex: Proof-1, Proof-2, etc.)
Type:
Size:
Other Size:
Border:
Other Quantity:
Backing:
Metallic Thread:

Shipping Information

Name:
Company/Organization:
Address:

City:
State:
Zip:
Phone:
Cell Phone:
Fax:
Email:
APO AE Delivery?	For overseas military shipping only.

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