This form is designed to be printed before filling in, then mailed or faxed to us. (It cannot be filled in online.) You may also contact us by e-mail at
Last order date for US Xmas delivery: Nov. 15th.
| Name | ||
| Address | ||
| City |
Prov./State |
Postal/Zip Code |
| Daytime Phone No. ( ) | ||
Method of Payment
| Cheque or Money Order _______ |
VISA _____
MasterCard _____ 
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| Credit Card Number
__ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __
Expiration: Month/Year __ __ / __ __ |
| Signature _____________________________________ |
Your Personal Measurement Chart - see Guidelines for instructions
| Bust/Chest | |
| Hip | |
| Sleeve | |
| Hem length | |
| Head | |
| Shoulder width | |
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| Shipping
and insurance:
for
shipping charges, as they vary world wide. We ship duty-free to the US. |
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| Total | |
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