Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Life Uniform Non-Barrier Lab Coat Order Form EMERGENCY MEDICINE Please fill out all required fields. Staff Member Name: Enter your name and Credentials EXACTLY as you want them to appear on your lab coat. *Enter Quantity Needed. May order 1-3 lab coats. *Deliver your order to: Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeContact Information Please include the best contact information so that we may contact you with any questions about your order. LayoutPhone *Email *Lab Coat Sizing for Men and Ladies MEN Neck: Hold tape snug just below larynx. Chest: Measure over clothing to be worn. Measure around fullest part of chest, under arms and around shoulder blades. Waist: Measure at point you wear your pants, but not over trousers. Hold tape firm but not tight. Men's coats are 65% polyester/35% cotton, pleated back, inset belt, 5 pockets, side vent openings to access pants pockets, 38” in length Each lab coat in white will be embroidered on the left upper chest with your name, credentials and title/department as provided. LADIES Bust: Measure around shoulder blades, under arms and around fullest part of bust, holding tape gently. Keep tape straight and level. Waist: Measure around natural waistline, wearer should be relaxed, not holding breath. Hips: Measure around fullest part of hip, about 9” down from waistline. Ladies coats are 80% polyester/20% cotton, pleated back, inset belt, 5 pockets, side vent openings to access apparel pockets, 37” in length Each lab coat in white will be embroidered on the left upper chest with your name, credentials and title/department as provided. Please note body types may vary. Life Form Non-Barrier Lab Coat Sizing Charts Use these charts to specify the size of lab coat you need. Men's Lab Coat Size: Item 1963 - Sizes 32-63 available. PLEASE SPECIFY NUMERIC SIZING, NOT S,M,L, 2XL, etc.Womens/Ladies' Dress Coat Size: Item 1964 - Sizes 2-5x available; including half sizes. PLEASE SPECIFY NUMERIC SIZING, NOT S,M,L, 2XL, etc.Once your order is placed, delivery will take approximately 5 weeks. Submit