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Custom Limited Edition Bear Data & Info Form

Attention: Please make sure you use a valid email address when you submit this order form.
We review the information in the form and then send a confirmation to you via email.

  * - required fields
Organization Information:
Where did you hear about our program? ::
* Organization Name ::
* Primary Contact ::
* Email Address ::
Mailing Address ::
City, State & Zip ::
* Primary Phone Number ::
Secondary Phone Number ::
Bear Design Information:
Body Color :: Face Color :: Ear Color ::
Mouth Area Color :: Hand Color :: Feet Color ::
Please describe your front embroidery ::
Do you have the graphics for the front? :: Yes No
Are you going to want embroidery on the back? :: Yes No
If yes, do you desire graphics, text or both on the back? :: Graphics Text Both
If graphics, do you have the graphics for the back? :: Yes No
Are you going to want embroidery on the footpad? :: Yes No
If yes, do you have the graphics for the footpad? :: Yes No
What ribbon color would you like for your plush? ::
How many pieces are you interested in ordering? :: (minimum is 300 pcs)
Custom Tag Information:
Do you want graphics, text or both on the front cover? :: Graphics Text Both
If graphics, do you have the graphics for the front? :: Yes No
If text, what would you like it to say on the front? ::
Do you want graphics, text or both inside the front cover? :: Graphics Text Both
If graphics, do you have the graphics for the inside front? :: Yes No
If text, what would you like it to say inside the front? ::
Do you want graphics, text or both inside the back cover? :: Graphics Text Both
If graphics, do you have the graphics for the inside back? :: Yes No
If text, what would you like it to say inside the back? ::
Do you want graphics, text or both on the back cover? :: Graphics Text Both
If graphics, do you have the graphics for the back? :: Yes No
If text, what would you like it to say on the back? ::
HolyBears®, Inc. reserves the right to sell bears in addition to the amount ordered by customer to authorized HolyBear dealers and tax-exempt fundraisers only.