Custom Request Form

Custom Request Form

Please make sure to fill in the required fields and submit this form to be added into production queue.
Please Check the Box Below and double check your selections*
prevnext( X )
Custom DepositThis is a deposit that puts your garment in line for production. Your deposit will go towards the final cost of your item. *Deposits are non-refundable*
$15.00 QuantityGarment ChoicesColorAge ContextSize

Total

$0.00
Please Describe the embroidered graphic design you would like and any special requests (colors, words, etc.) *additional charges may apply *
Full Name*

First NameLast Name
E-mail*
example@example.com
Contact Number
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is shipping address same as billing address?

YesNo
Shipping Adress*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Send as a Gift?

YesNo
Recipient's Full Name (Who I address the package to)

First NameLast Name
Gift Message
Thank You for your Order Request!

You will be emailed with a tracking number once your order ships. Please note that current production time is 2-4 weeks (+-). With any questions please email EarthyApparelco@gmail.com
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

Thank You for your Order Request!