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Hi Lee, welcome to the T-Shirt Forums!
There are many ways to start. You can go the do-it-yourself route by purchasing the printing equipment (heat press or screen printing depending on the method you prefer) or you can outsource the printing to a heat press or screen printer, or you could use one of the online fulfillment companies that will handle the printing/shipping/order taking for you (like cafepress, spreadshirt, etc).
There are many ways to start. You can go the do-it-yourself route by purchasing the printing equipment (heat press or screen printing depending on the method you prefer) or you can outsource the printing to a heat press or screen printer, or you could use one of the online fulfillment companies that will handle the printing/shipping/order taking for you (like cafepress, spreadshirt, etc).