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First and Last Name*

E-mail*

Phone Number

Number of Hats/Toques

Type of Hat

Trucker Hat Curved Brim
Flexfit Style Hat (Fitted Hats)
Trucker Hat Flat Brim
Snapback Style Hat
Beanie Style Toque
Toque
Other
I don't know

Patch Style

Brown Leather
Colored Leather
Rectangle, Oval or Round Leather
Custom Cut Leather Shape
Acrylic Patch
Wood Patch
I don't know/other

Additional Info (hat type, color preference, design info)

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