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973-414-9200
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Grocery Haulers Order Form
Driver #
*
Terminal Location
*
Name
*
Email
Jacket - Pick One
Selection
*
Selection
J754 - Black Nylon with Fleece Lining
J332 - Vortex Waterproof 3 in 1 Red Jacket
88184 - Soft Shell Jacket
F282 - Full Zip Sweatshirt with Reflective Stripes
None
Size
*
SM
MED
LGE
XL
XXL
3XL
4XL
5XL
6XL
Sleeve Length
*
Regular
Long
Shirts - Pick Five
First Selection
*
First Selection
PC61P - Grey 100% Cotton Short Sleeve Pocket Tee
PC61LSP - Grey 100% Cotton Long Sleeve Pocket Tee
K500P - Black Short Sleeve Pocket Polo
K500LSP - Black Long Sleeve Pocket Polo
ST340 - Black Short Sleeve Moisture Wicking Tee
CS423 - Reflective Polo
4528M - Black ¼ Zip 50/50 Sweatshirt
12500 - Hooded Pullover Sweatshirt
SP24 - Lt Blue Short Sleeve Workshirt
SP14 - Lt Blue Long Sleeve Workshirt
None
Size
*
SM
MED
LGE
XL
XXL
3XL
4XL
5XL
6XL
Sleeve Length
*
Regular
Long
Second Selection
*
Second Selection
PC61P - Grey 100% Cotton Short Sleeve Pocket Tee
PC61LSP - Grey 100% Cotton Long Sleeve Pocket Tee
K500P - Black Short Sleeve Pocket Polo
K500LSP - Black Long Sleeve Pocket Polo
ST340 - Black Short Sleeve Moisture Wicking Tee
CS423 - Reflective Polo
4528M - Black ¼ Zip 50/50 Sweatshirt
12500 - Hooded Pullover Sweatshirt
SP24 - Lt Blue Short Sleeve Workshirt
SP14 - Lt Blue Long Sleeve Workshirt
None
Size
*
SM
MED
LGE
XL
XXL
3XL
4XL
5XL
6XL
Sleeve Length
*
Regular
Long
Third Selection
*
Third Selection
PC61P - Grey 100% Cotton Short Sleeve Pocket Tee
PC61LSP - Grey 100% Cotton Long Sleeve Pocket Tee
K500P - Black Short Sleeve Pocket Polo
K500LSP - Black Long Sleeve Pocket Polo
ST340 - Black Short Sleeve Moisture Wicking Tee
CS423 - Reflective Polo
4528M - Black ¼ Zip 50/50 Sweatshirt
12500 - Hooded Pullover Sweatshirt
SP24 - Lt Blue Short Sleeve Workshirt
SP14 - Lt Blue Long Sleeve Workshirt
None
Size
*
SM
MED
LGE
XL
XXL
3XL
4XL
5XL
6XL
Sleeve Length
*
Regular
Long
Fourth Selection
*
Fourth Selection
PC61P - Grey 100% Cotton Short Sleeve Pocket Tee
PC61LSP - Grey 100% Cotton Long Sleeve Pocket Tee
K500P - Black Short Sleeve Pocket Polo
K500LSP - Black Long Sleeve Pocket Polo
ST340 - Black Short Sleeve Moisture Wicking Tee
CS423 - Reflective Polo
4528M - Black ¼ Zip 50/50 Sweatshirt
12500 - Hooded Pullover Sweatshirt
SP24 - Lt Blue Short Sleeve Workshirt
SP14 - Lt Blue Long Sleeve Workshirt
None
Size
*
SM
MED
LGE
XL
XXL
3XL
4XL
5XL
6XL
Sleeve Length
*
Regular
Long
Fifth Selection
*
Fifth Selection
PC61P - Grey 100% Cotton Short Sleeve Pocket Tee
PC61LSP - Grey 100% Cotton Long Sleeve Pocket Tee
K500P - Black Short Sleeve Pocket Polo
K500LSP - Black Long Sleeve Pocket Polo
ST340 - Black Short Sleeve Moisture Wicking Tee
CS423 - Reflective Polo
4528M - Black ¼ Zip 50/50 Sweatshirt
12500 - Hooded Pullover Sweatshirt
SP24 - Lt Blue Short Sleeve Workshirt
SP14 - Lt Blue Long Sleeve Workshirt
None
Size
*
SM
MED
LGE
XL
XXL
3XL
4XL
5XL
6XL
Sleeve Length
*
Regular
Long
Embroidered Name On Shirts
Embroidery
First Name and Last Initial
Do you need pants? (If no, choose additional shirts.)
Yes
No
Pants - Pick Three
First Selection
*
First Selection
PD60BW - Relaxed Fit Black Jeans
PT88 - Black Cargo Work Pants
PT66 - Black Cargo Shorts
None
Waist
*
30
32
34
36
38
40
44
42
46
48
50
52
54
Inseam (Length)
*
26
28
30
32
34
36
38
Inseam (Length)
*
12
Second Selection
*
Second Selection
PD60BW - Relaxed Fit Black Jeans
PT88 - Black Cargo Work Pants
PT66 - Black Cargo Shorts
None
Waist
*
30
32
34
36
38
40
44
42
46
48
50
52
54
Inseam (Length)
*
26
28
30
32
34
36
38
Inseam (Length)
*
12
Third Selection
*
Third Selection
PD60BW - Relaxed Fit Black Jeans
PT88 - Black Cargo Work Pants
PT66 - Black Cargo Shorts
None
Waist
*
30
32
34
36
38
40
44
42
46
48
50
52
54
Inseam (Length)
*
26
28
30
32
34
36
38
Inseam (Length)
*
12
Shirts - Pick Three
(Pants Substitute)
First Selection
*
First Selection
PC61P - Grey 100% Cotton Short Sleeve Pocket Tee
PC61LSP - Grey 100% Cotton Long Sleeve Pocket Tee
K500P - Black Short Sleeve Pocket Polo
K500LSP - Black Long Sleeve Pocket Polo
ST340 - Black Short Sleeve Moisture Wicking Tee
CS423 - Reflective Polo
4528M - Black ¼ Zip 50/50 Sweatshirt
12500 - Hooded Pullover Sweatshirt
SP24 - Lt Blue Short Sleeve Workshirt
SP14 - Lt Blue Long Sleeve Workshirt
None
Size
*
SM
MED
LGE
XL
XXL
3XL
4XL
5XL
6XL
Sleeve Length
*
Regular
Long
Second Selection
*
Second Selection
PC61P - Grey 100% Cotton Short Sleeve Pocket Tee
PC61LSP - Grey 100% Cotton Long Sleeve Pocket Tee
K500P - Black Short Sleeve Pocket Polo
K500LSP - Black Long Sleeve Pocket Polo
ST340 - Black Short Sleeve Moisture Wicking Tee
CS423 - Reflective Polo
4528M - Black ¼ Zip 50/50 Sweatshirt
12500 - Hooded Pullover Sweatshirt
SP24 - Lt Blue Short Sleeve Workshirt
SP14 - Lt Blue Long Sleeve Workshirt
None
Size
*
SM
MED
LGE
XL
XXL
3XL
4XL
5XL
6XL
Sleeve Length
*
Regular
Long
Third Selection
*
Third Selection
PC61P - Grey 100% Cotton Short Sleeve Pocket Tee
PC61LSP - Grey 100% Cotton Long Sleeve Pocket Tee
K500P - Black Short Sleeve Pocket Polo
K500LSP - Black Long Sleeve Pocket Polo
ST340 - Black Short Sleeve Moisture Wicking Tee
CS423 - Reflective Polo
4528M - Black ¼ Zip 50/50 Sweatshirt
12500 - Hooded Pullover Sweatshirt
SP24 - Lt Blue Short Sleeve Workshirt
SP14 - Lt Blue Long Sleeve Workshirt
None
Size
*
SM
MED
LGE
XL
XXL
3XL
4XL
5XL
6XL
Sleeve Length
*
Regular
Long
Review
* Please review your order before submitting. There are no returns or exchanging on all customized items unless it was an error by American Wear.
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