Group Ordering

Interested in placing a group order? Please fill out the brief online form below, click 'submit this form now' and a Medelita representative will contact you within one business day. Questions about group pricing, custom logo embroidery, name & title embroidery, and sizing will all be discussed in the first conversation. We welcome the opportunity to outfit your office and/or department, and are committed to making group ordering an easy, streamlined process.

Practice or Group Name
Business Website
Business Address
Contact Person
Preferred Contact Time
Contact Phone Number
Contact Email
Is this for a retention program? (optional)	Yes
Approximate Order Size	Scrubs (# of sets)
	Womens     Mens     Both
	Lab Coats (# of coats)
	Womens     Mens     Both
Preferred Delivery Date
Logo Embroidery	Yes     No
Name & Title Embroidery	Yes     No
Additional Comments or Questions
A representative from Medelita will contact you within one business day of receipt, Monday – Friday.