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Date:_____________________________
Need By: _________________________
Tracking #________________________

GENDER:     MALE        FEMALE
Name: _______________________________
Phone #:_____________________________
E-mail: ______________________________
Mailing Address:_______________________
_____________________________________
_____________________________________
Suit Style: ___________________________
Body Color: __________________________
Collar Color: _________________________
V-Cut Color: _________________________
Stripe Color: _________________________
Chevron Color: _______________________
Piping Color: _________________________
Hood Color: __________________________

Sleeves: REGLAN
Zipper: BACK FRONT STRAIGHT ANGLED

Suit Thickness: 3mm   5mm   7mm
Pockets: ____________________________
Neoprene Cover: _____________________
Vest: ______________________________
Hood: ______________________________
Cap: _______________________________
Spine Pad: __________________________
Bottom Pad: _________________________
Seals: ______________________________
Titanium: ___________________________
Platinum: ___________________________
Bent Knees & Elbows: ________________
Kevlar Kneepads: ____________________
Kevlar Elbow Pads: ___________________
Socks: _____________________________
Shoe Size: __________________________

Zippers: WRISTS   ANKLES   RELIEF
Seals: WRISTS   ANKLES   NECK

How did you hear about Liquid Fit?
______________________________________
______________________________________

Height: ________ Weight: _______
Measurements around the body:
  1. Forehead: ________________
  2. Forehead to nape: _________
  3. Neck: ___________________
  4. Upper chest 
    (at armpits): ______________
  5. Chest: ___________________
  6. Waist: ___________________
  7. Hips: ____________________
  8. Thigh: ___________________
  9. Mid-thigh: ________________
  10. Knee: ___________________
  11. Below Knee: ______________
  12. Calf: ____________________
  13. Ankle: ___________________
  14. Bicep: ___________________
  15. Elbow: ___________________
  16. Forearm: _________________
  17. Wrist: ___________________
  18. Torso Circumference: _______
  19. Shoulder to shoulder: _______
  20. Mid-back to wrist: __________
  21. Shoulder to wrist: __________
  22. Elbow to wrist: ____________

    Top of shoulders to:
  23. Chest: ___________________
  24. Waist: ___________________
  25. Hips: ____________________
  26. Crotch: ___________________
  27. Ankle: ____________________

    From ankle to:
  28. Calf: ____________________
  29. Knee: ___________________
  30. Mid-thigh: _______________
  31. Crotch: __________________

    Ladies Only
  32. Above breast: _____________
  33. Below breast: _____________
  34. Nipple to nipple: ___________
    Bra size:____ Cup size: _____