UMass Family Med & Community Health Apparel Orders 2021
Submission Deadline: Tuesday September 21st
Sign in to Google to save your progress. Learn more
Name *
Email Address *
Choices (prices include logo and shipping, may be less if item on sale or higher volumes purchased) *
Required
Gender Preference for Sizing *
Jacket/Vest Size *
Sizes are not unisex and differ for men vs. women. Refer to the Patagonia website for size charts or Dick's Sporting Goods for items to try on.
Monogramming? ($10 for 1 line, $15 for 2 lines) *
If Yes, type the exact spelling you prefer for the first monogrammed line (example: Henry Del Rosario, MD). Character limit is 26 including spaces.
Type the exact spelling you prefer for the second monogrammed line, if desired (example: Chief Resident).
Special Order Requests! (i.e. want 2 of the same jacket, 1 with logo and 1 without, etc.)
Logo
NEW Gray Better Sweater Jacket (Women's with chest pocket on the arm) - Note: Men's = Regular Fit, Women's = Slim Fit
NEW Gray Better Sweater Vest (Women's with no chest pocket) - Note: Men's = Regular Fit, Women's = Slim Fit
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy