Your Name

Phone Number

Event Date MM/DD/YYYY

Once we confirmed your appointment time, may we text you confirmation? Once we confirmed your appointment time, may we text you confirmation? Yes please No thank you

Email

Colour (check all that apply) Colour (check all that apply) Black Grey Blue Taupe

Preferred Fit Preferred Fit UltraSlim / Eurofit Slim / Modern Classic / Traditional

Size Range Size Range Small: 34 - 38 Medium: 40 - 42 Large: 44 - 46 XLarge: 48 - 50 XXLarge: 52 & up

Preferred Appointment Date (Month & Day)

Alternate Appointment Date (Month & Day)