Testform Custom Order Shield Quote (1) Use this form for Custom BA Shields idea requests. If you would like to order after submission head to our webstore and choose Custom Shields! Your InformationName*Last Name*Phone*Fire Department/CompanyNot required but helps if someone else from your department/company wants to order the same shield you have.Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Shield SelectionThe number you put here helps us keep track of inventory/process. Scott AV3000/3000HT Price: $45.00 Quantity: MSA G1 Price: $45.00 Quantity: MSA Ultra Elite/Firehawk Price: $45.00 Quantity: OTS Guardian/ Divator MKII (fits both) Price: $45.00 Quantity: Tell Us About Your Custom ShieldsNotes/Comments/InstructionsTell us about your shield(s)! How do you want it to look? How should we use the images you uploaded? If you have multiple custom shields being ordered, tell us about all of them right here. Attach a Custom Image(s) Drop files here or Accepted file types: jpg, gif, png, pdf, jpeg. Feel free to upload multiple images for multiple shields. Note: Changing the filename of your image to correspond with the shield you are requesting makes it a lot easier for us to track it.Consent* I have read and agree to these termsIn order to make your shield look good, we need an image that is at least 300 dpi in size. Remember, for the most part what you send us is what you will get. We’re firefighters after all. C&C Designs (BA Shields) reserves the right to deny images that it deems offensive, degrading, derogatory or just plain upsetting. C&C Designs is also not allowed to reproduce images protected by Copyright and Trademark laws (this includes professional sporting teams, movie logos, business logos, etc.). Exceptions include written or verbal authorized permission to use the image. Proof may be required. By placing a custom fire department logo on your Shield, it is assumed that you, the buyer, have permission to use the logo. C&C Designs is not responsible for unauthorized use and/or false authorizations of images/logos. Custom Orders And Images Cannot Be Returned.CommentsThis field is for validation purposes and should be left unchanged.