Abstract: A combination embroidery/screen printing apparatus and method comprises an inner hoop cooperating with an outer hoop for clamping and planarly confining a selected area of a textile substrate as a reproduction of a selected pattern is formed thereon, a framed screen for forming selected first portions of the reproduction on the selected substrate area by screen printing, a stitching machine for forming selected second portions of the reproduction on the selected substrate area by automated stitching, and an alignment mechanism including an alignment template for obtaining close registration between the printed first portions and the stitched second portions of the reproduction. The framed screen and the alignment template are shaped and dimensioned such that each can be snugly slidably removably inserted in the inner hoop. A removable target disk in conjunction with the alignment template provides alignment of the substrate relative to the clamping hoops.