SAMURAI BESPOKE ORDER FORM
Is this a new Submission?
Yes
No
Sales Representative Details
*
Please Select
Josh Atkinson
Lyle Asiligwa
Mark Thompson
Matt Aylott
Mike Atkin
Neil McFarlane
Oliver Day
Richard List
Submission Date
-
Month
-
Day
Year
Date Picker Icon
Order Type - Credit/PF
CREDIT - Bespoke
PROFORMA - Bespoke
GOK Order ?
YES
NO
Repeat Order
Please Select
YES
NO
Repeat Order Numbers
Please provide all relevant repeat order numbers where applicable
Leadtime Requirement
*
Please Select
Standard
Express
Fast Track
Seafreight
Required By Date
-
Month
-
Day
Year
Date Picker Icon
Customer & Discount Information
Customer Account Name
Contact Name
Contact Email
Will be used as default for Track & Trace
Discount %
Phone Number
-
Area Code
Phone Number
Delivery Info
Cust A/C Address
Other Address
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
RUGBY
Gender
*
Male
Female
Product
*
Select Product to view options
Shirt
Short
Socks
Construction
*
Sublimated
Cut & Sew
Design - Sub (Ladies)
Select Your Design
CREATE YOUR OWN
8114
4214
4814
5214
8514
8614
8714
8814
8914
5414
9114
3014
9314
4014
4514
Design - Sub
Select Your Design
CREATE YOUR OWN
5614
5714
5814
5914
6014
10814
10914
11014
11114
11214
11314
11414
11514
11614
11714
11814
11914
12014
12114
12214
13514
12414
12514
12614
12714
2614
2714
2814
2914
3014
3114
3214
3314
3614
3714
3814
4114
4214
4314
3914
4014
3414
4414
4514
3514
12814
12914
13014
13114
13214
13314
13414
12314
13614
13714
4614
4714
4814
4914
5014
5114
5214
5314
5414
5514
Design - C&S (Ladies)
Select Your Design
0314
6714
0214
0114
7014
7114
7214
7314
1914
1114
7614
7714
1414
7914
0414
Design - C&S
Select Your Design
0114
0214
0314
0414
0514
0614
0714
0814
0914
1014
1114
1214
1314
1414
1514
1614
1714
1814
1914
2014
Design - Shorts C&S
Select Your Design
Premier
Atlantic
Medina
Cairo
Eclipse
Pacific
Design - Shorts Sub
Select Your Design
CREATE YOUR OWN
4814
1402
1403
3314
1405
4314
4514
1408
4814
1410
4014
5414
4814
5214
4714
Fit (Sublimation Male)
Select Fit
Regular
Fashion
ProFit
FlexFit
Competition
Fit (Sublimation Female)
Select Fit
Semi Fit
Pro Fit
FlexFit
Competition
Fit (C&S Male)
Select Fit
Regular
Fashion
ProFit
FlexFit
Fit (C&S Female)
Select Fit
Semi Fit
Pro Fit
Flexfit
Fit/Styling Shorts
Select Fit/Styling
Club
Premier
Fabric Options 1.
Select Fabric
Ikoma Smooth
Ikoma Textured
Elitex
Fabric Shorts
Select Fabric
Polyester Drill
Cotton Drill
Ikoma 220gm
Fabric Shorts (Sub)
Select Fabric
Polyester Drill
Fabric Options 2.
Select Fabric
Ikoma Smooth
Ikoma Textured
Fabric Options 3.
Select Fabric
Iconix TM
Fabric Options 4.
Select Fabric
Ikoma Textured
Ikeda
Fabric Options 5.
Select Fabric
Ikoma Textured
Create your own - DESIGN INFORMATION
Please complete with full details of design requirements including any colour gradients, design positioning etc
Garment Colour - Ikoma
*
Garment Short Colour - Cotton Drill
*
Garment Short Colour - Ikoma 220gm
*
Garment Short Colour - Polyester Drill
*
Garment Short Colour - Sublimation
*
Garment Colour - Ikeda
*
Garment Colour - Sublimation
*
State Colour References below (CMYK, PANTONE or PMS)
TRIM OPTIONS - COLLAR TYPE
Please select
Standard Collar/Placket
Grandad/NZ Placket
South African
Veemax
Samoan
Optimax
TRIM OPTIONS (Ladies) - COLLAR TYPE
Please select
Standard Collar/Placket
Grandad/NZ Placket
South African
Veemax
Samoan
TRIM OPTIONS - COLLAR TYPE (Comp)
Please select
Performance
TRIM OPTIONS (Ladies) - COLLAR TYPE (Comp)
Please select
Performance
COLLAR COLOUR
Please Select
01 Aussie Gold
02 Black
03 Bottle Green
05 Chocolate
07 Emerald Green
08 Grey
012 Maroon
013 Navy
014 Orange
017 Red
018 Royal Blue
019 Sky Blue
020 White
021 Amber Yellow
COLLAR COLOUR (Samoan)
Please Select
02 Black
03 Bottle Green
07 Emerald Green
012 Maroon
013 Navy
017 Red
018 Royal Blue
020 White
021 Amber Yellow
023 Dark Grey
Special Request (on approval)
Samoan Collar Colour (Special Request)
SLEEVE OPTIONS
Please Select
Short Sleeve (std)
Long Sleeve
SOCK TYPE
Please select
Stock Premier Euro (MOQ 1)
Stock Tri Nation (MOQ 1)
Amateur Sock (MOQ 24)
Club Pro Sock (MOQ 50)
Professional Sock (MOQ 100)
Premier Euro Sock Colour
Please Select
Red
Maroon
Sky
Royal
Navy
Bottle
Black
Tri Nation Sock Colour
Please Select
Red/White
Navy/Red
Navy/Sky
Black/Red
Navy/White
Black/White
Professional Sock Designs
Please Select
PRO1
PRO2
PRO4
SO3
SK1
SK2
SK3
SK4
SK5
SK6
SK7
DESIGN YOU OWN
Club Pro Sock Designs
Please Select
SO3
SO4
SO5
SO6
SO7
SO8
SO9
SO1
SO2
Amateur Sock Designs
Please Select
TJ01
TJ02
TJ03
TJ04
TJ05
TJ06
TJ07
TJ08
TJ09
TJ10
TJ11
TJ12
TJ13
TJ14
TJ15
TJ16
TJ17
TJ18
TJ19
TJ20
Create your own - DESIGN INFORMATION
Please complete with full details of design requirements
SOCK COLOUR
STYLING REQUEST
PERSONALISATION
Upload Image if applicable
Sizing Information (Professional Sock)
QUANTITY
BABY (0-24 Months)
INFANT (2-5 Years)
BOYS (2-12)
YOUTH (3-6.5)
MEN (7-11)
XL MEN (12-14)
Sizing Information (Sock)
QUANTITY
YOUTH (3-6.5)
MEN (7-11)
XL MEN (12-14)
TOTAL PRO SOCK QTY:
TOTAL SOCK QTY:
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DECORATION - Manufacturer's Branding - Tops
*
DECORATION - Manufacturer's Branding - Shorts
*
ADD CLUB OR SPONSOR LOGO?
YES
NO
DECORATION - Customer/Sponsor's Branding - Tops
DECORATION - Customer/Sponsor's Branding - Shorts
Upload ALL logo files required here
Upload Files
Cancel
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QUANTITY INFORMATION INC. PERSONALISATION
QTY'S & SIZING
NUMBERS/INITIALS
NAMES (Shirts Only)
DECORATION - NAMES
DECORATION - NUMBERS
DECORATION SHORTS - NUMBERS
Sizing & Number Information - CHILDRENS
QUANTITY
NUMBERS/INITIALS (if applicable)
BABY
INFANT
XSC
CHILD
JNR
XSB
SB
MB
LB
Sizing & Number Information (Shorts) - CHILDRENS
QUANTITY
NUMBERS/INITIALS (if applicable)
BABY
INFANT
XSC
CHILD
JNR
XSB
SB
MB
LB
Sizing & Number Information (Female Shorts) - CHILDRENS
QUANTITY
NUMBERS/INITIALS (if applicable)
BABY
INFANT
XSC
CHILD G
JNR G
XSG
SG
MG
Sizing & Number Information - CHILDRENS (Sub)
QUANTITY
NUMBERS/INITIALS (if applicable)
BABY
INFANT
XSC
CHILD
JNR
XSB
SB
MB
LB
Sizing & Number Information - LADIES Semi Fit (Child)
QUANTITY
NUMBERS/INITIALS (if applicable)
BABY
INFANT
XSC
CHILD G
JNR G
XSG
SG
MG
Sizing & Number Information - ADULTS
QUANTITY
NUMBERS/INITIALS (if applicable)
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Sizing & Number Information (Shorts) - ADULTS
QUANTITY
NUMBERS/INITIALS (if applicable)
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Sizing & Number Information (Female Shorts) - ADULTS
QUANTITY
NUMBERS/INITIALS (if applicable)
SIZE 6
SIZE 8
SIZE 10
SIZE 12
SIZE 14
SIZE 16
SIZE 18
SIZE 20
SIZE 22
Sizing & Number Information - ADULTS (Sub)
QUANTITY
NUMBERS/INITIALS (if applicable)
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Sizing & Number Information - LADIES Semi Fit (Adults)
QUANTITY
NUMBERS/INITIALS (if applicable)
SIZE 6
SIZE 8
SIZE 10
SIZE 12
SIZE 14
SIZE 16
SIZE 18
SIZE 20
SIZE 22
Sizing & Number Information - LADIES FIT (Adults)
QUANTITY
NUMBERS/INITIALS (if applicable)
SIZE 6
SIZE 8
SIZE 10
SIZE 12
SIZE 14
SIZE 16
SIZE 18
SIZE 20
SIZE 22
Sizing & Number Information - ADULTS - Profit
QUANTITY
NUMBERS/INITIALS (if applicable)
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Sizing & Number Information - ADULTS - Flex Pro fit
QUANTITY
NUMBERS/INITIALS (if applicable)
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Sizing & Number Information - CHILDRENS - Fashion
QUANTITY
NUMBERS/INITIALS (if applicable)
LB
Sizing & Number Information - ADULTS - Fashion
QUANTITY
NUMBERS/INITIALS (if applicable)
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Children's Fashion Fit Total:
Children's Total:
Children's (Shorts) Total:
Children's (Female Shorts) Total:
Children's (Sub)Total:
Children's (Ladies SF)Total:
Adults Total:
Adults (Shorts) Total:
Adults (Female Shorts) Total:
Adults (Sub) Total:
Adults (Ladies SF)Total:
Adults (Ladies Fit)Total:
Adults Flexfit Total:
Adults Fashion Fit Total:
Adults Profit Total:
TOTAL GARMENT QTY (Fashion Fit):
TOTAL GARMENT QTY (Profit):
TOTAL GARMENT QTY (Flexfit):
TOTAL GARMENT QTY:
TOTAL SHORT GARMENT QTY:
TOTAL SHORT (Female) GARMENT QTY:
TOTAL GARMENT QTY (Sub):
LADIES (SF) TOTAL GARMENT QTY:
LADIES FIT TOTAL GARMENT QTY:
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No
Add Socks?
Yes
No
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