Name:

Address Line 1:

Address Line 2:

City:

Country:

Postal Code/Zip:

E-mail:

Work Telephone Number:

Home Telephone Number:

Section:

Type of Costume:

Body Size:     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

MEN'S SIZING CHART

SIZES CHEST WAIST HIPS
SMALL 34-36 28-30 35-37
MEDIUM 38-40 32-34 37-39
LARGE 42-44 36-38 39-41
X-LARGE 46-48 40-42 41-43
XX-LARGE 49-50 43-44 43-45

DEPOSIT : EC $400/ US $150

PRICE :      EC $800 US $300