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Full Name
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Email
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Phone
Phone
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Date Needed By
Date Needed By
/
MM
/
DD
YYYY
Previous Customer?
Yes
No
Width
2 Inches
2.5 Inches
3 Inches
3.5 Inches
4 Inches
4.5 2 Inches
5 Inches
5.5 Inches
6 Inches
6.5 Inches
7 Inches
7.5+ Inches
Height
2 Inches
2.5 Inches
3 Inches
3.5 Inches
4 Inches
4.5 2 Inches
5 Inches
5.5 Inches
6 Inches
6.5 Inches
7 Inches
7.5+ Inches
Shape
*
Custom
Circular
Rectangular
Square
Embroidery Percentage
50 Percent (Thread + Twill)
75 Percent (Thread + Twill)
100 Percent (Thread)
PVC Patches (Rubber - 100pc Minimum)
Woven Patches
Quantity
*
1000+
1000
500
400
300
200
100
50
20
10
Backing Options
Standard
Iron-On
2-Piece Velcro
1-Piece Velcro
Plastic
Peel & Stick
Comments
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