Design Request Form

First Name

Last Name

Phone *

Email *

Are you working with an Integrity Design Rep?

Not Currently Working with a Rep
Larry Shoppa
Cheryl Pollack
Brittany Hollows
Ashley Earls
Brandon Earls
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Organization Type *

School
Dealer
Other
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Dealer Company

Sports Inc.

BSN

Independent

Address

Street Address

City

State

Postal code

School Name

Company (organization) Name

Sports Inc. Store Name & #

How many product designs are you requesting?

Select

1
2
3
4
5
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Max.5

Please select (a) smart design(s) from our CATALOG.

Design #1 *

Width

Height

Unit #1

Feet

Inches

Design #1 description *

Design #2

Width #2

Height #2

Unit #2

Feet

Inches

Design #2 description

Design #3

Width #3

Height#3

Unit #3

Feet

Inches

Design #3 description

Design #4

Width #4

Height#4

Unit #4

Feet

Inches

Design #4 description

Design #5

Width #5

Height#5

Unit #5

Feet

Inches

Design #5 description

Logo(s) Upload

select up to 5 image file(s)

vectored (.ai, .eps, .pdf) or high resolution image (300dpi)

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