Please provide the following ordering information.
First name:   Last name:   Email:   Phone:  Street:   City:   State:   Zip Code:   Discount coupon enter code:   Discounts will be refunded back to your Credit Card or PayPal
Scrub Vest  $25.00 (Your own fabric $15.00)
Price: None $25.00 $15.00 (Own fabric) Select a Print: None Own fabric A day at the park Antique sewing Angels Anything goes Aurora Autumn garden Autumn Sun Autumn leaves Baseballs on navy Baseballs Baseball time Basketballs Baby blue Baby bottles Baby animal gingham Batty halloween Band-aids Be my valentine Believe flannel Be mine Bebop Big flowers Black & brown cats Black cats Blue-green check Blue hawaii Blue geometrics Blue roses Blue polka dots Blue swirly dots Blue snowfakes flannel Boo! Boo-t ful party Bow wow Bright stripe flannel Bright flowers Broomsticks orange Bright kids Bright circles Broomsticks wheat Brush and floss Butterflies Bubbles on teal Bubbles on white Butterflies Butterflies on the Vine Butterflies on pink Butterflies and flowers Cats & jack-o-lantern Cathedral window Cats in the garden Camping check Canine chronicles Camo Green Cats in the pumpkin patch Cats on red Cats in costume Candy corn Chanukka dreidles Choo-choo Christmas ornaments flannel Christmas angels Christmas reindeer flannel Christmas kitties Chritmas joy blue Christmas joy red Christmas trees Checkered bunnies Checkered sentiments Christmas stockings Christmas trains Christmas joy green Christmas tree too Chocolates Comic cats Clowns Counting sheep Colorful pebbles Country getaway Cowboy boots Cotton candy white Day at the zoo flannel Daisies Deer season Dear hearts Dino's on green Dogwood Dog houses Doggies Tossed Dog bones on red Dogs on brown Dog breeds Dragonflies Easter confusion Easter bunnies Eat your greens Eskimo flannel Fall harvest Fall's Beauty Faith, hope & love Felix Feline frenzy Fire hydrants First snowfall Fireworks with red stars Field of flowers Flip flop stripe Flower burst Flags with fireworks Flower packets Flower trellis Footsies Footballs Funny monkey flannel Geometrics Ghost in the graveyard Give a dog a bone Girly monkeys Glitter stars on blue Glass garden Gone fishin Golfballs Golfballs & Tees Going to the circus Grand cheese tour Great barrier reef Greet the day Happy snowmen Hats & pipes Happy cats Happy jacks Happy go lucky Happy kwanzaa Halloween scrapbook Hawaiian tropic Halloween delight Halloween night Heaven on earth Hearts on flannel Hearts all over Hearts swirled Hearts in a row Holiday stars Hope patchwork Hope swirls Ho, Ho, Ho Holly on navy Holly leaves Hockey Hugs & kisses Inspirational Inspirations In the dog house In the woods Indigo sun I see spots It's a pet's world I wish, I wish Japanese cream Jingle penguin flannel Jolll old st. nick Jungle adventure Jungle babies Kitty chronicles Kimono cats Kimono dogs Kitties all over Kitties with hat Knitwits Kokopelli Large leopard Leaf toss Leaves gone wild Leaves aflutter Lemon sun Leprechauns Let's race Liberty hearts Litters N' stuff Love letters Lucky cards Luv bugs Luv a cat Mardi gras beads Mardi gras diamonds Mardi gras feathers Masks and beads Mardi gras mask Mardi gras glitter Masked Pumpkins Medical whimsy Menorah and stars Mini flags on blue Mini scattered stars Mixed stars on burgundy Moon and stars Mosaic Moonlight madness Monsters on the trail Multi-stars on navy Multi-hand dyed Naughty or nice Noah's ark No fishing allowed Nursery rhymes On the move Olivia Packed paisleys Patriotric eagles Paw prints flannel Paper fans Packed snowmen Packed eggs Painted leaves Patchwork hearts Patchwork christmas Patchwork bunnies Patchwork santa's Parallel hearts Packed snowmen Penguins on blue Peek-a-boo Peppermints Pink hearts & flowers Pink marble Pink polka dots Pink hearts on black Pink hearts on white Pink floral Pink camo flannel Pink ribbon flannel Pink snowflakes flannel Planes, trains & trucks Polar bears Polar bear flannel Prismatic Pretty packages Pretty petals Pretty flower in a row Pumpkins galore Puppies all over Purple hearts & flowers Purple paisley Puppy show Pumpkins spice Pumpkin patch Pumpkins gone wild Purple moons Quilted snowmen Quilted kitties Reindeer Lights Red tulips Red stripe with blue stars Remember me Ribbit Santa's on blue Scattered hearts on pink Secret santa Shamrocks Shiny christmas Spill the beans Spacebots Skulls Skeletons Skate boarding flannel Small leopard Small flags Smile & sunshine Snowmen on turquoise Snowmen heads green Snowmen heads green Snowmen flannel Snowmen on red Snow day flannel Snowball fun flannel Soccer flannel Sphinx Spring bloom Spiders purple Spider webs Spring fever Spooky St. Pats hat St. Pat's word Stocking stuffers Stuffed animals Summer classics Summer flower Summer sun Summer fun Summer lodge Summer cafe Sunflower burst Surf safari Swirled hope Tennis shoes Teddy bear flannel The hamptons Teal ribbons The great north Tie dye Top dog Tossed clover Tooth fairies Tonga topaz batik Tonga orange batik Tonga rust batik Tropical frogs Trick-or-treat Turtles Tuiti Fruiti Twinkle-twinkle flannel Two by two Watering cans Watermelon slices Watercolor memories Watermelons Welcome to the lodge White stars on red White stars on blue Whott owls Who's stocking Whiskers & Tails Witches and bats Winter fun blue flannel Winter cardinals Winter fun pink flannel Will you be mine Wild horses Witches X-Rays Yellow letters Zippy jungle or Solid Color: None Aqua Black Brown Burgundy Caribbean Ceil blue Charcoal Denim Forest Galaxy blue Gold Hot pink Hunter green Jade Kelly green Khaki Lilac Mint Navy blue Olive Orange Pink Purple Red Rose Royal blue Sage Silver Sky blue Tan Teal Violet White Yellow
Options: Patch Pockets:   None left chest right chest right and left chest right chest and hips left chest and hips right hip left hip both hips Side Vents: None with vents                     Buttons:  right-ladies left-men  Measurements: Chest/Bust:   Waist:  Top Length: Hip:
Scrub Pants $27.00    Price: None $27.00 Solid Color: None Aqua Black Brown Burgundy Caribbean Ceil blue Charcoal Denim Forest Galaxy blue Gold Hot pink Hunter green Jade Kelly green Khaki Lilac Mint Navy blue Olive Orange Pink Purple Red Rose Royal blue Sage Silver Sky blue Tan Teal Violet White Yellow
Options: Waist Style: None elastic draw string  Leg Style:   None straight flare  Side Seam Pockets: None yes                            Cargo Pockets: None left side right side both sides  Back Pockets: None right left left & right  Measurements: Waist:   Hip:   Inseam: Thigh:   Rise
Appliques $2.00   Price: None $2.00      Appliques: None 20996 20998 21000 21003 21007 21009 4983 4940 5804 5806 5807 5810 Please specify, where Appliques to be placed in the "Special Request" box below:
Special Request, code and/or questions:	Please complete the following questions, so we can improve our services.       How do you like to wear your scrubs?  NA Loose Fitting Form Fitting  How did you hear about us? None yellow pages face book twitter friend google yahoo msn postcard email other     Other:  Are you a returning customer:    If so, use existing measurements:   Do you want to be notified of new fabrics or specials: yes no  Join the Birthday Club & receive discount:     Birth Date: xx-xx-xx

Print Copy" for your records.