* = REQUIRED

Customer Name *

Customer Address *

Town or Village *

District *

Phone number(s) *

Blouses, Quantity of each Size (digits only)

A01

S

M

L

XL

XXL

A02

S

M

L

XL

XXL

A03

S

M

L

XL

XXL

A04

S

M

L

XL

XXL

A05

S

M

L

XL

XXL

A06

S

M

L

XL

XXL

A07

S

M

L

XL

XXL

A08

S

M

L

XL

XXL

A09

S

M

L

XL

XXL

A10

S

M

L

XL

XXL

A11

S

M

L

XL

XXL

A12

S

M

L

XL

XXL

A13

S

M

L

XL

XXL

A14

S

M

L

XL

XXL

A15

S

M

L

XL

XXL

A16

S

M

L

XL

XXL

A17

S

M

L

XL

XXL

A18

S

M

L

XL

XXL

A19

S

M

L

XL

XXL

A20

S

M

L

XL

XXL

A21

S

M

L

XL

XXL

A22

S

M

L

XL

XXL

A23

S

M

L

XL

XXL

A24

S

M

L

XL

XXL

A25

S

M

L

XL

XXL

A26

S

M

L

XL

XXL

A27

S

M

L

XL

XXL

A28

S

M

L

XL

XXL

A29

S

M

L

XL

XXL

A30

S

M

L

XL

XXL

A31

S

M

L

XL

XXL

A32

S

M

L

XL

XXL

A33

S

M

L

XL

XXL

A34

S

M

L

XL

XXL

A35

S

M

L

XL

XXL

A36

S

M

L

XL

XXL

A37

S

M

L

XL

XXL

A38

S

M

L

XL

XXL

A39

S

M

L

XL

XXL

A40

S

M

L

XL

XXL

A41

S

M

L

XL

XXL

A42

S

M

L

XL

XXL

A43

S

M

L

XL

XXL

B01

S

M

L

XL

XXL

B02

S

M

L

XL

XXL

B03

S

M

L

XL

XXL

B04

S

M

L

XL

XXL

B05

S

M

L

XL

XXL

B06

S

M

L

XL

XXL

B07

S

M

L

XL

XXL

B08

S

M

L

XL

XXL

B09

S

M

L

XL

XXL

B10

S

M

L

XL

XXL

B11

S

M

L

XL

XXL

B12

S

M

L

XL

XXL

B13

S

M

L

XL

XXL

B14

S

M

L

XL

XXL

B15

S

M

L

XL

XXL

B16

S

M

L

XL

XXL

B17

S

M

L

XL

XXL

B18

S

M

L

XL

XXL

Children, Quantity of each Size (digits only)

C01

4

6

8

10/12

14/16

C02

4

6

8

10/12

14/16

C03

4

6

8

10/12

14/16

C04

4

6

8

10/12

14/16

C05

4

6

8

10/12

14/16

C06

4

6

8

10/12

14/16

C07

4

6

8

10/12

14/16

C08

4

6

8

10/12

14/16

C09

4

6

8

10/12

14/16

C10

4

6

8

10/12

14/16

C11

4

6

8

10/12

14/16

C12

4

6

8

10/12

14/16

C13

4

6

8

10/12

14/16

C14

4

6

8

10/12

14/16

C15

4

6

8

10/12

14/16

C16

4

6

8

10/12

14/16

C17

4

6

8

10/12

14/16

C18

4

6

8

10/12

14/16

C19

4

6

8

10/12

14/16

C20

4

6

8

10/12

14/16

C21

4

6

8

10/12

14/16

C22

4

6

8

10/12

14/16

C23

4

6

8

10/12

14/16

C24

4

6

8

10/12

14/16

C25

4

6

8

10/12

14/16

 


* = REQUIRED