New Order Request Sales Rep Information Sales Rep Name* Sales Rep Email* Customer Information Account Type:* Existing Account New Account Please send New Customer Application form to CS or fill out here: New Customer Application Account Name* Customer Number PO Number* Terms* Buyer Name* Buyer Phone* Buyer Email* Bill To First Name Last Name Company Name* Address* City* State* ZIP* Country Phone Email Ship To: Same as Bill To Different than above - enter new ship-to address Ship To Full Name Company Name Address City State ZIP Country Phone Email Customer Notes Fulfillment Guidelines Ship Option:* As Ready Ship Complete Ship Date Cancel Date Not Before Date Ship Via* Send Art Approval To:* Rep Buyer Both Pre-Ticket? Yes - $0.20 upcharge applies. *Standard format: "00 Default UPC". If using a different ticket format for new accounts, please provide an example. Designs Design 1 Order Type:* New Art Reorder Art 🗑️ Delete Design Concept #* Concept Name* Brand Type:* Select Brand Perrin Sportswear Vacationland Nex-T Perrin Outdoors Luxe by Perrin AtomicChild Other - please specify in art direction Namedrop* Print Location* Select Placement Full Front Left Chest Left Chest Full Back Full Front Left Sleeve Hat: Center Other - please specify in art direction Decoration Type* Select Decoration Screen Print Embroidery Appliqué Heat Transfer Other - please specify in notes Art Direction Other Design Notes Demographic* Adult/Ladies Youth Toddler Infant Accessory # Style # Style Name Color Price Size Upcharge Standard Size Retail 2XL Retail 3XL Retail 4XL Retail 5XL Retail 1 $ $ $ $ $ $ $ 🗑️ __COLOR_NUM__ $ $ $ $ $ $ $ 🗑️ + Add SKU Totals will appear here. Upload Files for this Design (attached to email) + Add Another Design Total Pieces: 0 Grand Total: $0.00 Submit Order
