704.664.2204 · Scrubs@SimplyUniformsnc.com · 2785-26 Charlotte Highway, Mooresville, NC

Mon to Fri 10:00 A.M. to 6:00 P.M. · Sat 10:00 A.M. to 4:30 P.M. · Facebook

Order Form

Just pull up our order form and if you know the item numbers fill in the information and forward it to us. We will confirm that we have received your order.

Sending the form opens your own email program with the order filled in, addressed to Scrubs@SimplyUniformsnc.com. If your browser does not open an email program, call the store on 704.664.2204, fax 704.664.2203, or download the order sheet below and email it to us.

Your details

Customer Name

Telephone Number

Email Address

Fax Number

Order Date

Manufacture

Your order

Fill in a row for each item. Enter the quantity under the size you need.

Order lines: style, color, sizes extra small through five extra large, quantity and price
Style	Color	XS	S	M	L	XL	2X	3X	4X	5X	QTY	Price

Sub Total

Tax

Total

Anything else we should know

Run out of room?

Download our order form as a spreadsheet, fill it in and email it to Scrubs@SimplyUniformsnc.com.

Download the order form

Brands We Carry

See the full list on our Distributors page.