UltraFlex Dental X-Ray Protective Aprons

Required Personal Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone Format*
- US/Canada
- International
Phone*
International Phone*
Dental Apron Details
Dental Apron Size & Color*
- Adult
- Child
Apron Outside Color*
- Black
- Charcoal Grey
- Navy
- Yellow
- Pink
- Red
- Royal Blue
- Teal
Embroidery Details
Will this embroidery include a logo?
- Yes
- No
Logo Format
The logo must be in a vector format in order to be digitized. The acceptable formats are .ai (Adobe Illustrator) or .eps (Encapsulated Post Script). Your Graphic Designer or marketing dept. will be familiar with these formats.
Are you able to upload the logo now?
- Yes, I have the logo in the required format
- No, I will email this file at a later date
Logo Upload
Drop files here or

Accepted file types: eps, ai, pdf.
Pocket Embroidery
Monogram Line 1 Monogram Line 2 Monogram Line 3 Font Style
Additional Notes for Pocket Embroidery
Customer Acknowledgement
Please review your order for accuracy*
- Yes, all information has been entered accurately.
Signature*

Required Personal Information