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:
Height/Weight:	If Female, Please Enter Bra Cup Size:
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 often will you be wearing your vest carrier per week?
How would you like to pay? Circle one: Personal Check (Please call us for total amount and mail it with this form) Cash (only in person) Department Invoice (Call us for details) Credit Card (All Major Cards are accepted), please complete box to the right ----------------------------à	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”
Tactical vest cover prices usually range from $175 - $260. Total cost is determined by embroidery, number of 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)