First Name (required)

Last Name (required)

Company

Email Address (required)

Phone (required)

Due Date(if needed by a specific date)

Is this a re-order? (required) Is this a re-order? (required) Yes No

Apparel (required) Apparel (required) Sourced by The Shirt Shop Customer Provided

Number of Colors In Design - (required)

Quantities of Garment(s) - (required)

Production Type (select all that apply) Production Type (select all that apply) Screenprint Embroidery Promotional

Design Placement (select all that apply) Design Placement (select all that apply) Left Chest Center Front Back Sleeve Other

If "Other" is selected please state where design is intended to be placed

Please let us know any additional information about your order here