| First Name*: |
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| Last Name*: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code*: |
(5 digits) |
| State: |
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| Daytime Phone*: |
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| Evening Phone: |
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| Email*: |
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| a- Garment Style #: |
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| a- Quantity: |
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| a- Color of garment: |
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| a- Approximate size of print image on front of garment: |
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| a- Amount of ink colors for image on front: |
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| a- Approximate size of print image on back of garment: |
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| a- Amount of ink colors for image on back: |
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| a- Do you want flash? |
a- Do you want the ink colors to be flashed? |
| a- Custom tags? |
a- Check here if you want custom tags on this garment |
| b- Garment Style #: |
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| b- Quantity: |
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| b- Color of garment: |
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| b- Approximate size of print image on front of garment: |
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| b- Amount of ink colors for image on front: |
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| b- Approximate size of print image on back of garment: |
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| b- Amount of ink colors for image on back: |
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| b- Do you want flash? |
b- Do you want the ink colors to be flashed? |
| b- Custom tags? |
b- Check here if you want custom tags on this garment |
| Preferred shipping: |
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