Name:
Organization name:
Are you a Retailer?:
Address:
City:
State:
Zip:
Shipping address a Business or Residence:		Please annotate if shipping address is a business or residence for UPS and FedEx purposes.
Email Address:
Telephone Number:
Requested delivery date:		Domestic expect 3-4 weeks for delivery. International expect 4-5 weeks for delivery so plan accordingly especially if custom JerseyBins are for an event.
JerseyBin size:	Big Bin Trim Bin Mid Bin Mini Bin Super Mini Bin Custom Size Debossed	Sizes are Width x Height: Big Bin: 7" x 4-3/4"; Trim Bin: 7" x 3-3/4"; Mid Bin (most popular/accommodates nearly all cell phones): 6" x 4"; Mini-Bin: 5-3/4" x 4"; Super-Mini Bin: 5" x 3-3/4". Debossed JerseyBins are plain with the JerseyBin logo debossed in the vinyl on one side (considered special order). Customize a personal size? Multiple price quotes? Add in remarks
Quantity:		minimum order 100
Silkscreen/artwork placement:	Zipper side Non-zipper side Two sides Debossed	Do you want artwork to be on zipper side, non-zipper side or both sides of pouch.
Vinyl type:	Frosty Clear Polished Clear (Most preferred for cell phones; -10 degree F cold crack high heat tolerable vinyl)	Both Frosty Clear & Polished Clear come in a 10 gauge vinyl.
Zipper color (see remarks):	Black Red Clear	Black, Red, Clear zipper options.
Number of colors in your art:		Provide number of colors in your artwork.
Select artwork colors:		If we do not have your exact color in stock, we will provide nearest match. Select PMS color(s) codes from this chart (If link is broken please cut and paste in your browser): www.cal-print.com/InkColorChart.htm
Artwork file upload		EPS or TIFF (Must be camera ready separated art if decorated). We use Adobe Illustrator CS, Adobe Photoshop CS & Quark Express 6.1. Art needs to be separable for silkscreen purposes. Request the Custom JerseyBin PDF template if you plan to generate your own artwork. If we generate artwork a charge will be applied. Adding QR codes to your art is becoming a very popular tool for enhanced marketing!
Referred by who?		Please let us know who referred you (if any) and especially if it was one of our Distributors (full name please).
Remarks		Max 300 characters. NOTE – JerseyBin.com is currently delivering 3-4 weeks (domestic) and 4-5 weeks (international) from placement of order. Although we make every effort to deliver on your requested delivery date; Delivery dates are subject to change without notice. To place an order, all art work needs to be approved and the order needs to be submitted with your price quote request.
Anti-spam: Sometimes system says math problem is wrong; may take several attempts: please redo math problem. (Will not work with Mac/Safari). Problem with form? Email us with your request at: admin@JerseyBin.com		Solve this simple math problem

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Additional fees may be required if we generate or have to modify your artwork. We send a sample PDF proof to you in order to receive your final approval on your artwork before moving on to production. 100% payment with order. No refunds on customized JerseyBins. The JerseyBin trademark is placed on all customized JerseyBins art side. Price quotes good for 30 days. JerseyBin.com reserves the right to sell any custom overages from our website.

Thank you for your interest in customizing your personal JerseyBins today! Sometimes we are busy so give us a couple of days to get back to you – thanks!