Commander Ed's Product Order Form

Required fields have a red * in front of them.

* Select Product Category:

* Select Product Type:

* Background Color:

* Lettering Color:

* Shape:

Quantity Price Breakdowns Note: $35 Setup Fee 1st Order Minimum Order 50 Patches
50 to 99	$1.70 each
100 to 199	$1.40 each
200 or more	$1.30 each

* Quantity:

Limited to 16 characters per line.

*Charter Number:

Church/Club Name:

Church/Club Name 2nd Line :

Please describe what you want. Feel free to phone us with any questions.

* Product Description:

*Order Comments:

Please tell us where to deliver your order and how to contact you.

*First Name:

*Last Name:

*Phone:

Cell Phone:

*Email Address:

Address:

Select State:

City:

Zipcode:

Create a screen name and password so you can login later.

*Screen Name:

*Password:

*Re-enter Password:

Product Categories