Custom Designed Patch

HCC™ Custom Designed Patch Form

Specials   HCC Shop

Your Information

*Name & Shipping address:
Name: Street (any apt # if applicable) City, State, Zipcode
highlight and delete the words in box above and replace with Your Shipping address information.

*Country
Change if From Canada or UK - Other countries Please wait for me to get back to you.

*Needed by date
I need this date for ALL orders   ~  Please be aware that a rush fee may be applicable. - Check rush service dates here.

*E-mail - Required  If no email is provided your submission will be deleted & you will not receive a response.
(please put FULL email - include text before the "@" and after it)      please check your email often- Reply when needed - don't ignore emails- it can cancel, or delay your order greatly.

Phone (optional)
This gives me the ability to contact you by phone if there is a problem with your paid order.
it is highly recommended incase email fails for some reason. (I DO NOT take orders or details over the phone - Only emails so that all discussions are documented and we both have a record of what is discussed)

*to confirm my order my preferred method of payment is:
Pay Pal (credit cards accepted - You do not need to be a member)   Money order Or Certified Check

Order Details

Describe what you prefer: Please explain what colors you would like to use in your patch design.  - ex: what color background fabric.  What kind of fabric...Satin? Cotton? Flannel?  etc..., What color threads? Any satin flowers or ribbons sewn on? 

Please be as detailed as possible.

Embroidered Monogram or Lettering  (Stitched letters that are Sewn with thread)

Please Type out 1 to 3 Monogram letters OR Personalized letter saying as you want it to read. 

Thread Color for Letters
See Details Box NO Lettering on this Patch WHITE IVORY Red Burgundy Lt. Pink HOT Pink Fuchsia Orange med pumpkin orange Peach Lt Yellow Bright Yellow Old Gold Neon chartreuse Green chartreuse (lt lime green) Sea foam green Moss Green Hunter Green Green Emerald Teal Green Teal Aqua Lt Blue Cornflower blue Royal blue Navy Blue Antique blue Plumish purple Purple Lavender Black Silver gray Metallic Gold Metallic Silver Rust Brown Tan Please choose

Font ( see fonts here - new window )
CUSTOM FONT - upgrade 002 004 005 011 016 017 021 038 200 210 220 NO lettering on this Patch

Font (Use this only if you want a combo font - example (Times roman and Formal script)
CUSTOM FONT - upgrade 002 004 005 011 016 017 021 038 200 210 220 No second Font

Quantity

How Many of This Design Patch would you like created for you?

If you would like to order Another patch design request you may do so. FIRST scroll down and submit this order request.  Then use your back button to come back to this form. All your info will be filled out still. Simply leave your name/address info and edit the patch description details to what you would like the next design to be. Then scroll down and submit the form again with the new details. :)

Please only submit one custom patch form PER DESIGN , Thank you :)

Important... After I read your order request I will reply to you. Once I have sufficient detailed information, I will be able to give you a price quote and send you an invoice. 

If you have any Error Messages and Can not submit this form - Please request an e-mail form instead.   This is ONLY if you are getting an error message when you submit the form.