Your Name*

Your Email*

Phone Number*

Quantity*

Delivery dealine date (optional)

Patch Design (File Upload). Describe in additional notes field if not available.

Additional File (optional)

Delivery Method*
DeliveryLocal Pickup (factory)Local Pickup (Retail store)

Are we allowed to resell your patch design through our e-shop and retail store? (This will impact the design fee)*
Please select an optionResell permissionResell restricted

Sizing Information*
Please provide the width and height in centimeters.

Width (cm)*


Height (cm)*


Additional Notes