Sales Person / Ref. Company*

Date

Customer Name

Reference

Delivery Address*

Date Of Delivery

Tel*

1. Model

3. Measurements

1.1. Neck Model

3.1. Measure Unit

1.2. Cuff Type

3.2. Neck Circumference

1.3. Shirt Front

3.3. Sleeve Lenght

1.4. Shirt Back

3.4. Bicept

2. Options

3.5. Right Cuff

2.1. Pocket Square

3.6. Left Cuff

2.2. Left Pocket

3.7. Shoulders

2.3. Right Pocket

3.8. Chest

2.4. Cuffs and Collar Interior Contrast

3.9. Waist

2.5. Additional Collar

3.10. Hip

2.6. Second Pair of Cuffs

3.11. Back Lenght

2.7. Initials

2.8. Initials Position

2.9. Initials Color

2.10. Buttons Color

Notes