Please enable JavaScript in your browser to complete this form.Facility Information: *172nd (G-3402)1820 Hayes (G-132)1825 Industrial Dr (G-3075)1835 Hayes (G-1196)1835 Industrial Dr (G-1007)1845 Industrial Dr (G-4690)1900 Hayes (G-485)Comstock (G-109)Taft (J-4527)VanWagoner (J-4704)Order/Change Type: *NewOutSize ChangeIncreaseDecreaseTransferCancel Shirts OnlyCancel Pants OnlyFor transfers-allow 1-2 weeks for delivery location changeTransfer from: *172nd (G-3402)1820 Hayes (G-132)1825 Industrial Dr (G-3075)1835 Hayes (G-1196)1835 Industrial Dr (G-1007)1845 Industrial Dr (G-4690)1900 Hayes (G-485)Comstock (G-109)Taft (J-4527)VanWagoner (J-4704)OtherOther *Transfer to: *172nd (G-3402)1820 Hayes (G-132)1825 Industrial Dr (G-3075)1835 Hayes (G-1196)1835 Industrial Dr (G-1007)1845 Industrial Dr (G-4690)1900 Hayes (G-485)Comstock (G-109)Taft (J-4527)VanWagoner (J-4704)OtherOther: *Increase: *5 to 6 changesOther-Please specify in special instructions belowDecrease: *6 to 5 changesOther-Please specify in special instructions belowAssociate Information:Associate Name: *Associate Name (as it will appear on emblem): *No Nicknames, Standard = First Name Only ~ Supervisor = First and Last Name, Leader EmblemMaleFemaleUniform Information: *Standard Supervisor Welding, Cutting Torch, Qualified Electrical EmployeesGarment Selection:Shirts OnlyPants OnlyBoth11 shirts only $1.50 (poly/cotton)13 shirts only $1.80 (poly/cotton)11 pants only $2.00 (poly/cotton)13 pants only $2.40 (poly/cotton)11 shirts and pants $2.88 (poly/cotton)13 shirts and pants $3.43 (poly/cotton)11 pants only $2.13 (cotton)13 pants only $2.55 (cotton)11 shirts only $1.88 (cotton)13 shirts only $2.25 (cotton)11 shirts and pants $3.70 (cotton)13 shirts and pants $4.33 (cotton)Shirt Size: *SmallMediumLargeX-Large2X-Large3X-LargeOtherOther:Shirt Type: *RegularTallQuantity: # of Short Sleeve *(Please note if using a combination it must equal quantity ordered)# of Long Sleeve *Pant Size-Waist: *28303234363840424446485052OtherOther (Even Sizes Only):Length: *2830323436OtherOther (Even Sizes Only): Special Instructions:Associate Signature/Authorization:I authorize Shape Corporation to deduct uniform rental charges from my paycheck. I do understand that the uniforms are the property of WM Uniform. I also understand that all uniforms must be returned to Shape Corporation upon termination of employment (or if uniforms are no longer provided) and that I will be charged for any uniforms that are not returned or are damaged.Date *Associate Signature *Please Type NameWebsiteSubmit
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