JL Design Team Order Sheet--Fax to 714.479.0152

Fill this form while online, then print and fax it to your rep. This form should be accompanied by the Men's Sizing Sheet and/or a Women's Sizing Sheet and any artwork. For help with sizing, click here

ORDER INFORMATION:
Team Name:
Contact Name:
  OUR CARRIERS WILL NOT DELIVER TO A PO BOX, PLEASE PROVIDE A STREET ADDRESS
Shipping Address:
City:
State:
Zip/Postal Code:
Country:
Email:
Phone:
Fax:
Date Submitted (MM/DD/YR):
Date Needed (MM/DD/YR):
  email or call if you have extensive comments
Notes:
PAYMENT INFORMATION: Before production begins on your order we need one of the following: prepayment, deposit (balance is due before order is shipped) purchase order, or credit card number to be held until check arrives. Find out more
prepay deposit CC hold for check PO #
* CC (Pay in full) CC (Hold for Check)
*Exp:
*CC#:
*3-digit "card code":
found on the back of card, last 3 digits of code printed inside of signature strip
*First line of billing address
*Zip of billing address:
*Cardholder Name:
Cardholder's Signature:

 

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PLEASE CHECK ALL THAT APPLY: For help with artwork issues click here
EMBROIDERY Use existing artwork
  Art provided with this fax
  Art to follow via fax or email
SILKSCREEN
Use existing artwork
  Art provided with this fax
  Art to follow via fax or email
Other Contact me for details