Antrim Kit Mods & Medals

Custom Order Request

Custom Request Form

First Name: *
Last Name: *
Email Address: *
Phone Number: *
Service Required:
Specific Item(s):
Please list specific items separate in each with a comma.
Organisation:
If applicable, please list organisation type for example: Army, Navy, Air Force, Police Service, Fire Service ,Youth Organisation like the Cadets or Other.
Description of Customisation: *
Material Preferences:
If you require specific materials, please list here separate each with commas.
Colour Scheme:
If applicable please list colour or pattern. For example: MTP, DPM, Multicam.
Size/Measurements:
If applicable, please provide measurements. Separate each with commas.
Reference Images:
Maximum file size: 2 MB
Please upload any images that might help us better understand your needs. Formats: JPEG or PNG. Max No. of images 3
Preferred Completion Date:
Additional Comments:
I agree to the terms and conditions. *
I understand that this is a request form and that final quotations will be provided after consultation. *