| *Email: | |
| *Phone number:  (and best time to call)  | |
| *Organization name:  (Church, School, Court, etc)  | 
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| *Mailing address: | City: State: Choose a state: or Province: (Leave blank in US) Country: Other Country not listed above or leave blank: *Zip or Mail Code:  | 
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When do you plan to wear/use the items? (Choose one)  | 
 not sure immediately within a month within a year in time for my event on:  | 
| I am interested in: |  Qwick-ship styles only- I need it NOW Custom robes (8 weeks, but made to measure with your choices)  | 
| Style/fabric preferences: (choose any that pertain)  |