Name Chest Wall inches
Address Over Bust inches
City Ribcage inches
State Waist inches
ZIP Hips inches
Phone Stride inches
E-mail Height inches
Age (optional) Weight pounds

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Note: NO CASH REFUNDS and no return of intimate wear after it has been worn.
SOMETHING SPECIAL 232 N. EUCLID AVE. ST. LOUIS, MO 63108 314-454-3001
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