For Jordan – Shield Order Form

Personal Information

First Name *

Last Name *

Street Address: *

City: *

State: *

Zipcode: *

Phone: *

Email *

Shield Details

Shields take roughly 8-10 weeks to produce and ship.

Shield Texture *

Smooth

Rough

Banner #1

Center

If "Number," what Number?

Center Color

Banner #2

Name / ID

Yes

If Name Yes, how do you want Name to read?

Name Color

Outer Edge

Stitching

Groove

Stitching/Groove Color

Color for outer edge

Shield Color

Banner Color

Text Color

Banner, Text Type

Traditional

Block

Fancy Block

Final Details

Rush Fee

Please Rush My Shield

Helmet Shields take roughly 8-10 weeks to produce and ship depending on work load. We offer a "rush" fee of $30 for 1/2 time turnaround. Check yes if we need to rush!

Additional Information:

File Upload

Upload a picture or artwork here.

File Upload 2

If needed, upload a second file.

Additions to My Order

Add a special edition Fireline Shields coin, patch or sticker pack to my order —

Click here to view images of these items!

Yes

No thanks

If Yes, which add-on?

Fireline Shields Challenge Coin - $15

Fireline Shields Iron-on Patch - $5

Fireline Shields Sticker Pack - $5

For Jordan – Shield Order Form

Fireline Shields’ Standard Leather Fire Helmet Fronts

Personal Information

Shield Details

Final Details

Additions to My Order

Submit Order!