Quick Order Package Order Form
First Name:
Last Name:
Address:
Address:
City:		State:		Zip:
Group / Association Name:
Date of Event:

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Height:		Weight:
Jacket Size:
	Short   Regular   long   X-Long
Shirt Neck:		Sleeve:
	Wing Tip Collar   Laydown Collar   Banded Collar
Pant Waist:		Inseam:		Outseam
Shoe Size:
	Medium   Wide

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Please select a style:
	Single Breasted Notch Lapel	Single Breasted Shawl Lapel
	Double Breasted Notch Lapel	Double Breasted Shawl Lapel

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Card Type:	Visa   Mastercard   Discover   American Express
Account #:
Expr. Date:
Store Pick-Up:	Please select a store location:   Cathedral City, Ca La Quinta, Ca
Hotel Delivery:	Please Select A Hotel Hyatt Grand Champions Resort, Indian Wells, CA La Quinta Resort & Club, La Quinta, CA Marriott Desert Springs Resort, Palm Desert, CA Marriott Desert Springs Villas, Palm Desert, CA Marriott Rancho Las Palms, Rancho Mirage, CA Palm Springs Hilton, Palm Springs, CA Renaissance Esmeralda Resort, Indian Wells, CA Riviera Resort, Palm Springs, CA Spa Hotel & Casino, Palm Springs, CA The Ritz Carlton, Rancho Mirage, CA Westin Mission Hills Resort, Rancho Mirage, CA Wyndham Hotel, Palm Springs, CA
Special Instructions: