THE VEST MAN

Please be certain to include an outline of your pads and cloth badge with this form –

See the “Design Your Vest” website link for detailed instructions

Name:	Department:
Mobile Phone Number:	Email:
Address (Is this a Personal or Station address?):	City, State, Zip:
Vest Material Color:	Background Patch Colors:
Do you want your personal name tag embroidered? If yes, please write it as you want it to appear here: YES NO	Color of writing on patch and embroidery:	How many days a week will you be wearing your vest carrier?
How would you like to pay? Circle one: Personal Check (Please call us for total amount and mail it with this form) Credit Card (MasterCard, Visa or Debit accepted), please complete box to the right ---- > Cash (only in person) Department Invoice (Call us for details)	Sketch out custom patches as they should appear on your vest here:
	Credit Card Information : All Major Credit Cards Accepted: Please enter 16 digit number below: Please enter expiration date here:
What is the gap between the top of your belt and the bottom of your ballistic panels? (circle one) 0 1” 1.5” 2” 2.5” 3” 3.5” 4” 4.5” 5”	Is there a gap or overlap on your sides where your ballistic panels meet? (circle one) No Gap Gap Overlap If there is a gap or overlap, what is the distance? 0 1” 1.5” 2” 2.5” 3” 3.5” 4” 4.5” 5”
The most basic tactical vest cover price starts at $115.00. Additional costs will be added on for embroidery, pockets, shipping and tax. Call us to get a total price or if you have any questions (310-973-5432). Please be sure to mail your outline of your pads, your cloth badge, this form and your payment to the address below.	Signature: Date:

3940 Marine Avenue, Suite D Lawndale, CA 90260 310.973.5432 206.339.8399 (fax)