Please note all nurse crewnecks are made to order and ship within 10 business days after ordering. If you wish to do a custom order for your floor please dm us or send us an email dirtywaterdonutshop@gmail.com Express shipping applies only to the shipping method and does not expedite the production turnaround time.All custom requests must be made prior to placing an order. We do not accept custom requests or changes to existing orders unless you are requesting a size change.Our cutoff date for orders guaranteed by Christmas was 12/12. Orders placed after 12/12 cannot be guaranteed to ship before Christmas.