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Promotional Items
Order Form
Click to View Our Catalog of Promotional Items
1
Order Information
2
Order Details
3
Your Information
4
Preview & Submit
CPN Number
(Required)
Please enter the CPN Number from the item page in the catalog
Name of Item
(Required)
Item Quantity
Description
(Required)
Please describe your item including desired color(s), logos, images, style(s), single or double sided format, information to include, imprint type, imprint color, etc.
Submission Type
(Required)
Only select Urgent Request if you need your artwork design or mock-up within the next 5-7 business days. For emergent requests (less than 5 business days), please call 469-854-3370. Thanks
Routine Request
Urgent Request
Do you need the item by a specific date?
(Required)
Yes
No
Ideal In-Hand Date
(Required)
This is the date you would like the product in your hands, if possible. Be sure that this is a realistic timeline that allows for design time, printing & shipping (if applicable).
MM slash DD slash YYYY
Is the requested item for a specific event you are hosting?
(Required)
Yes
No
Event Date
(Required)
If there is a specific start/end time for the event, please include that in the Details section below.
MM slash DD slash YYYY
If you would like this created as an event on your facility's Facebook page, please forward the final digital proof to your RBDC and request that it be created.
(REMEMBER - THIS IS ONLY APPLICABLE IF THIS IS AN EVENT YOU ARE HOSTING OR SPONSORING.)
I understand that this process has recently changed and I will send the request and digital image to my RBDC.
Please provide a description of your event, as well as any additional details:
(Required)
This should be 2-5 sentences describing the details of your event and what attendees should expect.
Upload any co-sponsors' high-resolution logos here (if you have them).
If you do not have them to upload, please request they be emailed to
[email protected]
Drop files here or
Select files
Accepted file types: jpg, png, gif, Max. file size: 10 MB.
Are there any other details about this event we need to know?
Company/Facility Name
(Required)
Advanced Healthcare Solutions
Advance Rehab Care
Advanced Health & Rehab Center of Garland
Advanced Rehabilitation & Healthcare of Burleson
Advanced Rehabilitation and Healthcare of Athens
Advanced Rehabilitation and Healthcare of Bowie
Advanced Rehabilitation and Healthcare of Live Oak
Advanced Rehabilitation and Healthcare of Vernon
Advanced Rehabilitation and Healthcare of Wichita Falls
Ample Care Management
Apex Rehabilitation & Care Center
Atlantis Business Solutions
Avid Healthcare Group
Balch Springs Nursing Home
Brady West Rehab & Nursing
Bravo Recruiting Solutions Corp.
Brightstone Healthcare Services
Calhoun Health Care Center
Care Network Healthcare Management Group
Chatsworth Health Care Center
Cherokee Trails Nursing Home
Clarksville Nursing Center
Clyde Nursing Center
Colonial Manor Advanced Rehab & Healthcare
Colonial Manor Nursing Center
Crescent Manor Rehabilitation Center
Henderson Health & Rehabilitation Center
Heritage House at Paris Rehab & Nursing
Pine Forest Center for Rehabilitation and Healthcare
Positive Path Behavioral Health Provider Resource Group
Whispering Oaks Rehab & Nursing
Winfield Rehab and Nursing
The Mulberry at Waverly
The Oaks at Central City
The Palm at Regency Square
The Pines at Blue Hill
The Renaissance at Kessler Park
The Willows at Gretna
Thomasville Care Center
Thunderbolt Care Center
Tomball Rehab & Nursing
Tybee Island Care Center
Virtue Clinical Solutions
Wedgewood Nursing Home
Westwood Healthcare and Rehabilitation
White Settlement Nursing Center
Whitehall Rehab and Nursing
Willow Rehab and Nursing
Willowcreek Rehab and Nursing
Willowwood Healthcare and Rehabilitation
Windcrest Health & Rehabilitation
The Cedars at Broadwell
The Cypress at Midtown
The Lakes at Texas City
The Maples at Centennial
The Meadows at Ashland
Mesquite Tree Nursing Center
Oceanside Care Center
Palo Pinto Nursing Center
Park View Care Center
Prairie House Living Center
Rehab Advisors
Rosemont at Stone Mountain
Rosenberg Health & Rehabilitation Center
Ruby Healthcare
Santa Fe Health & Rehabilitation Center
Seymour Rehabilitation and Healthcare
Southeast Nursing & Rehabilitation Center
Sulphur Springs Health & Rehabilitation
The Banyan at Montclair
The Birch at Sutherland
Crowell Nursing Center
Deluxe Healthcare Management
East Lake Arbor
Fairburn Health Care Center
Forward Hospitality Services
Granbury Rehab & Nursing
Grandview Health Care Center
Greenville Health & Rehabilitation Center
Hand In Hand Hospice
Heritage House at Keller Rehab & Nursing
Jeffersonville Care Center
LaGrange Care Center
Lake Crossing Health Center
Lumber City Care Center
Maple Ridge Health Care Center
McAllen Nursing Center
Title
(Required)
Name
(Required)
First
Last
Phone
(Required)
Provide the best phone number for us to reach you to discuss your request, if need be.
Email Address
(Required)
Your company provided email address.
Preferred Shipping Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
CĂ´te d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
RĂ©union
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
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
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
TĂ¼rkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ă…land Islands
Country
Please provide your preferred shipping address for delivery of your item(s).
RBDC
(Required)
Select your RBDC's name to notify them of your submission.
April Larvin
Gina Carter
LaTron Quincy
Leann Martin
Linzey Thornton
Wendy Bailey
Corporate/Other
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Order Request Acknowledgement
By checking this box, you guarantee that the information provided on this form is true and accurate, to the best of your knowledge. You also confirm that all pricing for the items you've requested has already been approved by your Administrator and/or RDO.
Unique ID
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Username or Email Address
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