Front View

Back View

Size 
Circle One

XS

S

M

L

XL

*2X

*3X

*4X

*5X

Circle One

Women Cut
 or
 Men Cut

Color
Circle One

White

Blue

Pink

Gray

Other

Black

Dark Gray

Red

Royal Blue

Cotton

Y or N

Wool

Y or N

Pullover Hood

Y or N

Zipper Hood

Y or N

Sweatshirt without Hood

Y or N

Track Jacket

Y or N

Logo Type

Circle One

Old School Classic

New Edition

Other

Attached Layout
Y or N

* Write your name as you would like to appear in line 1A below*

Line1A

 

Name

 

Phone Number

(       )        -      

E-Mail

 

Advanced Section for Custom Detail Request

Color of Lettering Trim

 

Stitching color

 

Additional Notes

 

 

*Prices vary upon request starting at $10.00

******************************For Official Use Only****************************

Date Order

 

VPride Points

 

Price

 

Deposit

 

Pickup Date

 

Delivery Date