This form cannot be filled in on-line, but is meant to be printed out for use in supplying the information we need. Most print out this form, fill it in and FAX it to us. If you need prices, please contact us for a price quote. Our choice? FAX your credit card/on-account order, or mail your order with a check (please include shipping charges- see below)

Sizing for Qwick-Ship (Our ready-made line) Judicial robes is within the following range: Men- chest 38"-48", height 5'6"-6'5" Women- chest 36"-48", height 5'4"-6' Sizes outside this range are custom only, taking 8-10 weeks. Please note that QWICK-SHIP ROBES ARE ALREADY MADE EXACTLY AS SHOWN- THERE IS NO CHOICE OF FABRIC.

For help with measuring, please see Measuring help & FAQ

Please answer each numbered question:

1) Judge Name (1 per form, please):   (Tropical Wool Robe, also provide up to 3 initials for the label):

2) Male       Female

3) Qwick-ship Robe Choice:   Geneva     Arbiter S-11 (Black)      Arbiter H-178 (Midnight Blue)      Jurist      Delphi      Justice      Magistrate      Plymouth   /Custom Robe Choice:   Tropical Wool

4) CUSTOM OPTION- If we cannot properly fit you in a Qwick-ship robe, OR you want the Bentley & Simon Tropical Wool robe, do you wish to order on a custom basis, taking 8-10 weeks, with your selection of fabric?      YES     NO
(Please note that we will contact you for further details if custom tailoring is required):

5) Chest measurement:

6) Sleeve Measurement:

6A) Custom Tropical Wool Robe only: Sleeve type-     BELL     TAPERED     OPEN

7) Height in shoes (Feet/inches):

8) Preferred Floor Clearance (4-12 inches):

Optional- If you know the "finished length" you prefer:

9) Do you need to order a robe bag? ___GN10614 (Nylon) | ___ GN13028 (Extra-long Nylon) | ___GN10623 (vinyl)

Do you need to order a robe hanger? ___GN13930

10) Need-by date:

11) Contact Name (The person handling this order):

12) In case we have questions, we MUST have your phone number and for international orders- email address:

13) UPS Ship Address (no PO Boxes!):

14) BANKCARD INFORMATION- (If you are paying by check, leave card info blank and send this form with your payment for all items plus shipping charges.)
VISA/AMEX/Mastercard number:

Expiry date:

CCV CODE: _ _ _    (3 numbers on back of card- REQUIRED)

Please read and sign: I am fully responsible for payment of this order, including any legal/collection fees required if payment is withheld or cancelled. I acknowledge that my prepayment is a rough estimate of charges only and does not guarantee the final invoice price, which will account for any style or vendor changes, order additions, initial estimate adjustments, actual shipping costs, and unforeseen price increases. If paying by credit card, I understand that the card statement will show payment to "RSW Robeshop" and (if appropriate) I have informed the person who pays the statement.
(Signature)

15) Mailing address for invoice/receipt (Who is paying for this order?:

IF THE CARDHOLDER ZIP CODE and ADDRESS numbers DO NOT MATCH this order billing address, the card will not process successfully. For CARD address verification, we need the correct NUMERICAL data- house/PO box# and zip code- where the statement for this card is mailed. Note: We have a lot of difficulty with corporate cards. We MUST HAVE THE EXACT MAILING ADDRESS FOR THE CARD STATEMENT, not the address for the person ordering.
ZIP:________________House/PO Box NUMBER:____________________

Important if YOU are not the cardholder: we must have direct communication from the cardholder to avoid misunderstandings and/or chargebacks. If someone else is paying for this order (including your organization or corporation), they must sign the statement above, or if this is not possible please provide here the name and direct phone number for the accounting person in charge of paying the credit card bill:

SHIPPING CHARGES UPS Ground service to U.S.48: (allow up to 2 weeks)
Please note that the following ship charges apply only to ready-made robes. Custom tailored garments or clergy shirts, shirt accessories and clergy signs are shipped separately under a different rate schedule, itemized on the appropriate order form.

$18.95 1 garment
Each additional garment/bag $1.00
AIR SHIPPING EXTRA

Washington residents must add 9% tax on full amount including shipping

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