Custom Request

Custom Order Form

Use this form when you need something outside the ready-to-order apparel catalog. For existing designs, browse the catalog first so you can order by design name or number.

Product Type

Fabric — Pick Cotton or Dri-Fit

Blank garment shown so you know exactly what you're picking. Both fabrics are the same price, and your design or hospital logo is added to the blank shirt.

Color

Size

Fit

Neck

Hospital Logo & Design

Base garment pricing includes the hospital logo. A full design is +$5; adding the department to the logo is +$2. Sleeve designs and name personalization are separate +$5 add-ons.

Add-ons

Quantity

1

Design Notes

Your Information

Payment Method

No refunds on custom orders. All custom and personalized apparel is made to order and cannot be returned or exchanged.

0 items · Total

$0.00