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LAZAL INC CUSTOM MEASURE FORM Dress Shirts

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					                                                                                                      Lazal Inc.
                                                                                                      1155 North Service Rd, W
                                                                                                      Oakville, On. L6M 3E3
                                                                                                      Phone: (905) 823-9869
                                                                                                      Fax: (905) 823-9879
                                                                                                      E-mail: custom@lazalinc.com

     LAZAL INC. CUSTOM MEASURE FORM - Dress Shirts
Customer Information
                                                                                    Please make sure your name and address are all filled in
Name:                                                                               correctly. Please leave at least ONE (1) contact number for
                                                                                    future reference (if you have lost your pickup receipt). E-
Address:                                                                            mail is used for the sole purpose of newsletters,
                                                                                    promotions and special offers. You may wish to not provide
                                                                                    us with your e-mail, although it is recommended for our
Phone: (Day) ( )                                                     N/A
                                                                                    special e-mail ONLY offers.
        (Night) ( )                                                  N/A

E-mail:                                                              (Optional) For Newsletters Only
                                                     Fabric Number         Fabric Colours            Fabric Patterns         Sketch Fabric Pattern
      Measurements
        (inches ONLY)

     Breast
                                                   Sketch Product


     Waist


    Bottom


   Shoulder


 Front Width


 Front Length


 Back Length


Sleeve Length


      Cuff


     Collar
Associate Name and Number   By signing below, you understand that you agree to this order described above and made sure that all
                            information given is correct. All personal information is kept safely for future references and orders. Please
                            note that all custom orders are not refundable or exchangeable. You may cancel your order within 24 hour
                            from when you placed the order by calling and leaving a message at (905) 823-9869. Please note that if there
                            is product defect or a wrong order from our manufacturer, we will redo your shirt order free of charge.
                                                                                                                        Reference/Order Number
   LAZAL INC. CUSTOM
                              Customer Signature                                                                 Date       2

				
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