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Empire  Waisted Scrub Top and/or Pants

You can order a Empire Top and/or a pair of Scrub Pants. Please choose your "Options" carefully & complete all "Measurements" in inches. Add any "Special Request" in box below.  "Print Copy" for your records. Then click on "Submit Order" and a  confirmation page will appear, where you can add your items to shopping cart.
 

"How to measure"
 

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
 
 Empire Waisted Tops  $23.00 (Use your own fabric $15.00)

  Price: Select a Print: or Solid Color:
 

 Options: Patch Pockets:    Trim Color for Empire Top: Solid Color:

 Measurements: Sleeve Length:
Chest/Bust:   Waist: 

     Top Length:    Bicep:     Hip:  
 

 Scrub Pants $27.00     Price: Solid Color:
 
 Options: Waist Style:  Leg Style:   Side Seam Pockets:

                          
CargoPockets:
 Back Pockets:


 Measurements: Waist:   Hip:   Inseam: Thigh:
 
 Appliques $2.00   Price:      Appliques:
Please specify, where Appliques to be placed in the "Special Request" box
Special Request and/or questions:

  

Please complete the following questions, so we can improve our services.     
 
 
How did you hear about us?     Other:
 Are you a returning customer:
 
 If so, use existing measurements: 

 
Do you want to be notified of new fabrics or specials:
 Join the Birthday Club & receive discount:     Birth Date: xx-xx-xx



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