Ordering Form
* indicates required fields
Your information
* Your Name:
* Email Address:
* Address 1:
Address 2:
* City:
* State / Province:
select a state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennyslvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
CANADA
Alberta
British Columbia
District of Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Prince Edward Island
Saskatchewan
Ontario
Quebec
* ZIP Code:
[Show Price Chart]
to enter International Country, State and shipping codes
Patch Information
* First Name:
Nickname:
* Last Name:
* Date of Birth:
* Date of Death:
* Type of Patch:
Tombstone
or
B & S
* Quantity of patches:
[Show Price Chart]
Check to upgrade to premium patches.
($3.00 additional fee per patch.
See price chart.
)
> Standard vs Premium?
Our standard patch is perfect for most applications, but our premium patch is constructed for more rugged applications. Both grades are made with the same high quality front fabrics and heat seal backing.
Additional Information
Special Instructions or Comments:
Check for rush service.
($25.00 additional fee per order. Completed in 5-10 bus. days)
Contact Jan
Phone: 414-405-0603
Message Phone: 262-268-9684
Email: jan@rippatches.com