EmailMe Form - PCAA DESIGN-SUBMISSION FORM

Name *
First Last
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone *
### - ### - ####
Email *
Your Business Name (if applicable):
Website URL:
Title of T-Shirt Design *
File Upload: Upload your PCAA T-Shirt Design (with watermark if desired). *
Royalty desired per sale: $ *
Do you desire a wholesale deal to purchase shirts featuring your design?
By submitting this design, you declare that its image or images--other than those of the PCAA--is/are under your ownership control and/or its/their marketing by the PCAA does/do not infringe upon the restrictions set by the creator or creators of the image or images. (If so, type "Yes" into the box below. Then click "Submit" to submit your design.) *