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Police Patch Design Form
Secure Form
SSL Encrypted
Use this form to inquire about custom designed patches. Payment info is not required.
Your Email:
*
First Name:
*
Last Name:
*
Organization:
*
Phone #:
*
Street Address
*
City:
*
State:
*
Zip:
*
I am interested in the following:
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A New Patch Design
Modifying a Patch
Replicating a Patch
Other
Other
Size:
*
Design Style #
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Style #1
Style #2
Style #3
Style #4
Style #5
Style #6
Style #7
Style #8
Style #9
Style #10
Style #11
Style #12
Style #13
Style #14
Style #15
Style #16
Style #17
Style #18
Custom
Quantity:
*
4
6
12
24
36
48
60
125
250
500
1000
2500
5000
Colors:
Attach artwork / image #1:
🛈
Attach artwork / image #2:
🛈
Press "Upload" after you have selected your image.
Comments / Questions:
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Type of Card
Visa
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Exp. Date
Security Code
Credit Card#
Billing Address
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