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PLEASE INCLUDE ALL MEASUREMENTS: 

NOT ACCEPTED IF INCOMPLETE.

Groom's Name:


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First Name
Last Name
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Address (cont.)
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Zip/Postal Code
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Neck:


Sleeve:


Chest:


Waist:


Out seam:


Coat Size:


Shoe:


Special Instructions:


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Revised: 12/29/02

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         Omaha, NE 68114
              Phone: 402-391-3200
          Fax: 402-391-3822

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            Omaha, NE 68144
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            Fax: 402-330-9294

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