Fashionizer Spa Uniform Request

First Name:

Last Name:

Email:

Phone Number:

Business Information

Street Address (Line 1)

Street Address (Line 2)

City

State

Zip

Website URL:

Do you have any particular style in mind?

Yes

Please provide a quick description of the style:

How many staff will you be outfitting?

Women:

Men:

How many garments would you like to allocate per staff member?
(Please indicate tops and pants separately.)

Top:

Pants:

Are you interested in any particular color?

Yes

If yes, please specify:

Would you like to have a logo embroidered?

Yes

Is there a date by which the uniforms would need to be available?

Yes

If yes, please specify:

Are you interested in ordering from our catalog collection or placing a custom order?

Other comments: