901 EAST SAMPLE RD., SUITE X<br>
POMPANO BEACH, FL., 33064<br>
954-786-9977<br>
954-426-6402  FX<br>
EMAIL: CEEJAY6630@AOL.COM <br>
<br>
Fill out this page, print it out, then fax it to 1-954-426-6402 or copy it and paste it to our email address below.
Fill out the secure order form with charge information and cost, any difference in price more or less, I will get back to you.

Be sure to send in your charge information seperately from this form on the secure order form below.<br>
<br>

UNIQUE PHYSIQUE BODYWEAR INC.   DATE:__________
                                                SANCTION:____________________
CUSTOM ORDER LOG                       Referral:____________________

NAME:_______________________________________________________________________

ADDRESS:___________________________________________________________________

                ___________________________________________________________________

DAY PHONE:_________________________________ NITE:__________________________

EMAIL:____________________________________________

CC#:________________________________________________  EXP:____________________

EYES:_________  HAIR:____________   HT:_____________

WT NOW:__________    ESTIMATED CONTEST WT:_________

SHIPPING ADDRESS:__________________________________________________________

CONTEST:___________________________    DATE OF SHOW:_______________________



MEASUREMENTS

CHEST:______              IMPLANTS:   YES    NO    SIZE:________
WAIST:_______             BODY STRUCTURE:  LONG   SHORT    TORSO        
HIPS:________

COMMENTS:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ <br>                                                                                  
   <br> 
TERMS AND CONDITIONS OF CUSTOM MADE SUITS<br>
----------------------------------------------<br>
AFTER AN ORDER HAS BEEN PLACED AND CONFIRMED WITH EITHER A CHECK OR CREDIT CARD,
THE SUIT WILL BE CUT AND PLACED IN A BIN ACCORDING TO THE SHOW. THIS IS HOW I KEEP TRACK OF NOT HAVING THE SAME TWO FABRICS ON STAGE AT THE SAME TIME.
A CUT CHARGE ON THE FABRIC WILL BE TAKEN IF THE ORDER IS CANCELLED. A FULL REIMBURSEMENT WILL BE MADE ONLY IF THE SUIT CAN BE RESOLD AFTER IT IS MADE. PARTIALS REFUNDS
WILL BE GIVEN IF THE ORDER IS CANCELLED UP TO 8 WEEKS BEFORE THE SHOW DATE.. IF THE CUSTOMER CANNOT USE THE PRODUCT,(I.E., INJURY)  THEY HAVE ONE YEARS' FULL CREDIT OF THIER MONEY TO USE TOWARDS SOMETHING ELSE(GIFT CERTIFICATES, BATHING SUITS,TANNING PRODUCTS, ETC..) OR THEY CAN HAVE THE REFUND MINUS THE FABRIC "CUT" CHARGE.<br>
<br>
<a href="pricesheet.htm" target="main">Product information fitness</a></td><br>
<a href="sales1.htm" target="main">Product information female bodybuilders</a></td><br>
<a href="sales3.htm" target="main">Product information male bodybuilders</a></td><br>
<a href="https://secure5.acceleratedweb.com/u1026/form2.htm"><b><font color=red>Secured Order Form</font></b></a></td>

<hr>
<a href="mailto:CEEJAY6630@AOL.COM">

<p><img src="email.gif"></a> </left> </p>
<br>


</body>
</html>