| Horizon Wetsuits Please Print & Fill out completely. |
| lisa@horizonwetsuits.com |
| Phone# (714) 744-1365 |
| Fax# (714) 879-8010 |
| Please Circle Shipping Preference |
| UPS: 1Day 2Day 3Day G |
| Fedex: 1Day 2Day 3Day |
| Customer Name: ________________________________________ PLEASE CIRCLE ONE OF THE FOLLOWING: |
| Customer Address: ________________________________________ Gender: Mens Womens Juniors |
| Customer Address: ________________________________________ Material: Nylon2 Plush Titex plush |
| Customer Address: ________________________________________ Titex Smooth |
| Customer Phone#: ________________________________________ Thickness: 1.5mm 2.5mm 3.0mm |
| Customer Fax# ________________________________________ 5.0mm 6.5mm |
| Customer Email: __________________________________________________ Seals: Arms Legs Neck |
| Face Flaps |
| Color Options: Zippers: Arms Legs Relief |
| Body Color: ________________________________________ Side Front 1/2__________ |
| Solid Arm Color: ________________________________________ Other: ________________________________________________ |
| Collar Color: ________________________________________ Please include an outline of knife |
| Stripe--Arms: ________________________________________ Pockets: Flat Expanding |
| Stripe--Sides: ________________________________________ Location of Pocket___________________________________________ |
| Vcut |
| (Front & Back): ________________________________________ |
| Knife |
| Pocket: Upper Lower Both |
| Outside Breast Panels: ________________________________________ Location of Pocket___________________________________________ |
| Center Breast Panels: ________________________________________ Stock Size: |
| Chevrons--Wrists __________________________________________________ XS S M ML L XL XXL Other________ |
| Chevrons--Ankles __________________________________________________ Wetsuit Styles: Please circle style |
| Other: __________________________________________________ |
| Shorty |
| (ShortSleeve) |
| Back |
| Zipper |
| Front |
| Straight Zip |
| Front Slant |
| Zipper |
| __________________________________________________ |
| One Piece: Back |
| Zipper |
| Front |
| Straight Zip |
| Front Slant. |
| Zipper |
| Accessories: Please Specify Color & Thickness |
| Stepin |
| (long sleeve) |
| Back |
| Zipper |
| Front |
| Straight Zip |
| Front Slant |
| Zipper |
| Cap w/Velcro Strap __________________________________________________ |
| Frenchcut |
| (long sleeve) |
| Back |
| Zipper |
| Front |
| Straight Zip |
| Front Slant |
| Zipper |
| Hood with Bib __________________________________________________ |
| Beavertail |
| (long sleeve) |
| Back |
| Zipper |
| Front |
| Straight Zip |
| Front Slant |
| Zipper |
| Hood without Bib __________________________________________________ One Pce. w/: Sleeveless |
| Stepin |
| Sleeveless |
| Frenchcut |
| Sleeveless |
| Beavertail |
| Pull-Over Vest __________________________________________________ |
| Farmer John |
| Only w/Stepin w/Frcut w/Bvtail |
| Pull-Over Hooded Vest __________________________________________________ |
| Neoprene Cover __________________________________________________ |
| Hood |
| Attached to: |
| Sleeveless |
| Stepin |
| Sleeveless |
| Frenchcut |
| Sleeveless |
| Beavertail |
| Pair of Socks __________________________________________________ Farmer John |