PVC Jacket Order Form

1
Name* This field is required.
First Name
Last Name
2
Please select which jacket you would like to order.* This field is required.Please note, some jackets are on back order from time to time. You will receive an email when jacket orders are placed if your jacket if not in stock. Doctors, if you would like to order a jacket that is not listed below, please select "Doctor Custom Order."
Elevate Okapi Women's Knit Jacket
Elevate Okapi Men's Knit Jacket
Core 365 Ladies Journey Fleece Jacket
Sport-Tek Women's Sport Wick Flex Fleece Jacket
Port Authority Ladies Active Soft Shell Jacket
Port Authority Microfleece Jacket (Unisex)
Elevate Men's Rixford Polyfleece Jacket Tall
Port Authority Active Soft Shell Jacket (Men's)
Doctor Custom Order
3
Doctor Custom OrderPlease copy/paste the link of the custom jacket you would like ordered and embroidered. Please also list which color you would like if there are multiple options. You will select your size and logo later in this form. Thanks!
Huge
Large
Normal
Small
Ok
Ok
4
Which company logo would you like on your jacket?* This field is required.
PVC logo
TSC logo
Type option 3
Type option 4
5
What size would you like your jacket? * This field is required.
X-Small
Small
Medium
Large
X-Large
2XL
3XL
4XL
5XL
6
How many Hub points should be deducted?* This field is required.Your first jacket costs 50 hub points, and additional jackets can be ordered at the Hub point price listed on the Hub store.
Should be Empty: