Custom Apparel Form Custom Apparel Form Order Details Date Ordered Date Order Needed Billing Address Name Address City State Zip Code Phone Number Email Address Shipping Address (if different from billing) Name Address City State [text shipping-state placeholder “CA” maxlength:2] Zip Code Form of Delivery Ship (additional shipping cost by weight)Pick-UpDrop-Off (local areas only, additional cost by distance) Method of Payment Credit / Debit Card (3% surcharge)Money Order (payable to Bezign)PayPal (3% surcharge, payable to info@airealapparel.com)Cash (exact amount only) ⚠️ Please do not submit credit card numbers through this form. Our team will contact you to securely process card payments. Apparel Order Use one row per garment type. Add additional details in the notes field below if needed. Garment Type Color S M L XL XXL Total Quantity Design Already designed & electronically created by me (please upload file below)Needs to be created by Bezign ($40/hr, includes 2 rounds of revisions) Upload your design file: Click here to upload via Hightail → Accepted formats: ai, psd, eps, pdf. Please upload your file before submitting this form. Hightail Upload Confirmation / File Name Design Description Design Placement FrontBackSleeve Number of Colors Front Back Sleeve Additional Notes