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.

Name
Address
City	Prov./State	Postal/Zip Code
Daytime Phone No.  (            )

Method of Payment

Cheque or Money Order _______

VISA _____     MasterCard _____  American Express _____

Credit Card Number   __ __ __ __    __ __ __ __   __ __ __ __   __ __ __ __  Expiration:  Month/Year __ __  /  __ __

Signature _____________________________________

Your Personal Measurement Chart - see Guidelines for instructions

Bust/Chest
Hip
Sleeve
Hem length
Head
Shoulder width

 

Item	Description	Colour	Price
Sales Tax (Canada only) NS, NB, NF 15% HST Ontario 8% PST + 7% GST Elsewhere in Canada 7% GST
Shipping and insurance: E-mail us for shipping charges, as they vary world wide.
Total