Company/Customer Name: Date: 06/16/19

Shipping Address:


Billing Address:

Billing has been set up by your company with CII Embroidery.
If billing should be sent to a different location and this is the first time you are ordering,please fill out the information below. Once this billing location has been approved, you may simply type your
Store Name/Location
Ordered by:
Approved by:
Store Name:  
City: P.O. #:
State: Dept:
Zip Code:    
Store #: Required Date:
Logo Name or #:
Embroidery Location:
Left Crest Right Crest Above Pocket
Left Sleeve Right Sleeve Back of Neck
Logo (2nd Location):
Left Crest Right Crest
Left Sleeve Right Sleeve
Logo Name/#:
Type Lettering Requested
Line 1:
Line 2:
Select a logo for you first location. If you would like a logo for your second location, simply type the logo's # in the (LOGO 2nd Location Line). If you would like lettering, fill in Line 1, Line 2. If you would like a name under the lettering, fill in Name as well.For Name only, click Right Crest and fill in Name you wish to have embroidered.
Block Lettering

Script Lettering
Other Request:
Item # Description Color S M L XL XXLG
Qty Price Total
  Colors and sizing for your company logo have been preset. If you require...

Additional Instructions:

Order total not including...
Shipping Info:
UPS Ground
UPS 3-Day
UPS 2-Day
UPS Next Day
USPS Priority
Credit Card:
Card Type:
Card Number:
Expiration Date: