Tico Robes Order Form

First Name

Last Name

Email

Area Code

Phone Number

Male

Gender

Date

Street Address

Street Address Line 2

City

State / Province

Zip Code

United States

Country

Measurement in cm or inches

1. Edge of shoulder to edge of shoulder

2. Base of neck to small of back

3. Base of neck to floor

4. Edge of shoulder to wrist

5. Hips measured at 2" below waist

6. Waist

7. Height

1. Zazen robe, light fabric - USD 95.00

2. Cotton underrobe - USD 60.00

3. Cotton flannel underrobe - USD 70.00

4. Underrobe Top - USD 25.00

5. Shipping - USD 55.00

Subtotal USD 0.00

Total USD 0.00

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