Name:

Address Line 1:

Address Line 2:

City/State:

Country:

Postal Code/Zip:

E-mail:

Work Telephone Number:

Home Telephone Number:

Section:

Type of Swimsuit:

Swimsuit Top (2 piece only):

Swimsuit Bottom (2 piece only):

Whole Piece Size (if applicable):

Body Size:     Bust Hip: Waist:  

Western Union #:

Amount Wired:

Date Wired:

                                               

 

Please wire money to: Sandra Derrick, Lower Fort Road, St. John's, Antigua

For local payments, Derricks Ltd., Long Street, St.John's, Antigua

LADIES SIZING CHART

SIZE BUST WAIST HIPS
X-SMALL 30-32: A,B,C 23-25 34-36
SMALL 33A,B,C,34A 25-27 36-38
MEDIUM 32D,34A,B,C 28-30 38-40
LARGE 34D, 36 A,B,C, 38A,38B 30-32 40-42
X-LARGE 38C,38D,40A,40B 33-35 42-44

DEPOSIT : EC $400 / US $150

PRICE :  EC $850  / US $320