Hiding Pin Shirt Order Form

Contact Information

Your Name:

Your email address: (e.g.: your@address.com)

Company Name

Street Address
State Zip
Phone:


How will you be taking care of the payment?
Select one of the following
I'll Call (517)321-UNIQUE(8647) to finish my order.
I want Unique Embroidery to call me and confirm, and I'll pay then.
I will pay now with my credit card #. (Unique will send you a confirmation)

Credit Card (Optional)
Expiry Date
(If you are not paying with a credit card, please allow up to 2 weeks from when we recieve your payment, to recieve the shipment.)
Order Information
Shirt Sizes S-XL are $22. Add $2 for 2XL, and $3 for 3XL.
Apparel Order 1
Quantity Size:  Color:

Apparel Order 2
Quantity Size:  Color:

Apparel Order 3
Quantity Size:  Color:

Apparel Order 4
Quantity Size:  Color:



Questions, comments, or special instructions?