Lab Coat Quote Request and PO Form

Lab Coat Quote Request Form

This form is used to request an official quote for a lab coat order. When completed, we will contact you for any other details needed and send you a PDF of the quote. From there, you can send us a PO or use our credit card payment system to confirm the purchase. This form does not confirm your order. It initiates the request.
For lab coats in a pre-order phase:

Please note that they will not be delivered for at least 5 months from your order date. If a pre-order campaign is not successful, full refunds will be given. You may update or cancel your order at any time before we ship them, but please avoid this when possible. We plan manufacturing volumes around the committed orders. Large cancellations can put the entire project in jeopardy.

Purchaser contact information
Contact information for purchaser

This is the person we'll work with for the quotes and POs
Purchaser Contact Info*

First NameLast Name
Company or Institution*
We can only accept POs from companies or institutions
Email address*
example@example.com
Phone Number*
Please enter a valid phone number.

Product order details
Product order details

Please estimate sizes and quantities of lab coats. This can be adjusted later but is important for us to plan manufacturing. All sizes have the same pricing.
Do you need custom embroidery? *
$12 each for 1 line of text. Additional $12 each for logos. $25 1-time artwork conversion fee for logos. We cannot embroider officially licensed University logos.
Total number of Men's lab coats*
Total number of Women's lab coats*

Please enter the quantity of each gender/size combination. Size charts can be found on the product pages. This can be adjusted later, but please make a best guess. *

	Men's	Women's
XXS
XS
S
M
L
XL
2XL
3XL
4XL
5XL
TBD

Would you like to add a matching faux leather Pocket Protector with each lab coat? (see example below)*
$13.45 each normally. $9.95 each when ordered with lab coats.
Would you like to add a Pocket Chemist, Pocket Engineer, Pocket Scientist, or Pocket Physicist with each lab coat?*
$12.50 each normally. $9.50 each when ordered with lab coats.

Payment and Shipping Information
Preferred payment method*
Mailed checks accepted with minimum $300 order. No fee for credit cards or ACH.
Ship to the attention of:*

First NameLast Name
Ship to company name:
Shipping Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Date needed by:

MonthDayYear
Pre-orders will ship approximately 5 months after goal is met
Any other questions or things we should know?
Should be Empty:

Lab Coat Quote Request Form

For lab coats in a pre-order phase:

Contact information for purchaser

Product order details