SHELL ORDER FORM - CCM Custom UniformsCCM Custom Uniforms

Nylon Shell Order Form

All initial order and artwork request from dealers and sales reps must be submitted through our request form. This will ensure that we have all the need administrative information to efficiently process your request. Using this form will prevent delays on processing orders due to missing or inaccurate information. Once the initial form is submitted any following communication will be done by direct email or by phone with our staff. It is important for you to provide as much information as possible on this form.

CCM Sales Rep Name*
Sales Rep Email Address*
Dealer Name*
Purchase Order #
(if required)
Dealer Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dealer Shipping Address (If different than billing address)
Same as Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dealer Contact Person (Who will manage this order?)*
First Last
Dealer Contact Phone*
Dealer Contact Email*
SELECT THE SHELL COLOR FOR THIS ORDER*
SIZE ADULT XXL
Input quantity needed
SIZE ADULT XL
Input quantity needed
SIZE ADULT L
Input quantity needed
SIZE ADULT M
Input quantity needed
SIZE ADULT S
Input quantity needed
SIZE YOUTH XL
Input quantity needed
SIZE YOUTH L
Input quantity needed
SIZE YOUTH M
Input quantity needed
SIZE YOUTH S
Input quantity needed
Other Order Notes, Additional Instructions