Corporate Purchase Program Application

To see if your organization qualifies for Workwear USA's CPP, please fill in each item below. Your email address will be used only to reply to your request and will not be retained for any other purpose.

Required fields are marked with an asterisk (*)

Organization Type: * Business Firm Community/Not-for-Profit Professional/Trade Association Other Business/Governmental		Number of Employees: * Under 25 26 to 100 101 to 500 Over 500
We are interested in purchasing: * Casual apparel without logo [e.g. "blank" T-shirts] Logoed casual apparel [embroidered or screen printed] Promotional Products or corporate gifts Two or more of the above		Our organization typically orders apparel or promotional products: * 1 to 2 times per year 3 to 5 times per year 6 or more times per year This is a one-time special event

First Name *		Last Name *		Title * Select Mr. Ms. Mrs. Miss.

Business/Organization Name *		Business Telephone *		Extension

E-mail Address * Verify E-mail Address *

Do you have an immediate need?    Yes      No

If yes, please provide a brief summary: