Style & Size 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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Jacket Style:

Select One After Six 070 After Six 080 After Six 090 After Six 171 After Six 271 After Six 555 Lord West 137 Lord West 146 Oscar De Larenta 139 Oscar De Larenta 170 Oscar De Larenta 175 Oscar De Larenta 180 Oscar De Larenta 189 Oscar De Larenta 210 Oscar De Larenta 219 Oscar De Larenta 220 Oscar De Larenta 280 Oscar De Larenta 520 Oscar De Larenta 549 Oscar De Larenta 760 Perry Ellis 115 Perry Ellis 270 Raffinati 060 Raffinati 095 Raffinati 102 Raffinati 229 Raffinati 529 Raffinati 550 Raffinati 639 Ralph Lauren 120 Ralph Lauren 279 Traditional 020 Traditional 100 Traditional 105 Traditional 350 Traditional 500

Vest & Tie Color:

Select One Harrison Periwinkle Harrison Forest Green Harrison Frosty Pink Harrison Silver Individual Black Dream 7 Button Individual Black La Vida Individual Black Satin 5 Button Individual Camel Bond Individual Concord Cognac Individual Dove Grey Double-Breasted Individual Ivory Satin 5 Button Individual Ralph Lauren Hudson Individual White La Vida Lava Gold Lava Red Lava Silver Rainbow Black File Rainbow Burgandy Rainbow Chanpagne File Rainbow Gold File Rainbow Green File Rainbow Navy File Rainbow Silver File Rainbow White File Versailles Black Versailles Bronze Versailles Eggplant Versailles Heather Versailles Ivory Versailles Pewter Versailles Sage Versailles White Windsor Black/ White Windsor Dutch Blue Windsor Hunter Green Windsor Purple

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Card Type:	Visa   Mastercard   Discover   American Express
Account #:
Expr. Date:
Store Pick-Up:	Please select a store location:   Select One 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: