Batik's Order Form
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| Name *
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| Address *
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| Street Address *
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| Address Line 2
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| City *
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| State / Province / Region *
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| Postal / Zip Code *
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| Country *
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| Phone Number *
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| Email *
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| Men's Wear Code
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MW 01
MW 02
MW 03
MW 04
MW 05
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| Size
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S
M
L
XL
XXL
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| Woman's Wear Code
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WW 01
WW 02
WW 03
WW 04
WW 05
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| Size
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S
M
L
XL
XXL
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| Shoes Code
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S 01
S 02
S 03
S 04
S 05
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| Size
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36
37
38
39
40
41
42
43
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| Fabrics Code
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F 01
F 02
F 03
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| Special Instructions
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