Name:
Email Address:
Business Name:
Business/Home Address: ..Street:
City: ..State: ..Zip Code:
Phone:
Questions
1. What makes a bra fit most comfortably for you?
Cup Form/size Fabric Straps Under wire Bodice
2. What do you look for in a bra?
Fabric Lace Color Beading
3. Where do you purchase bras?
Department Store Discount Store Boutique Internet
4. Do you want matching panties?
Yes No
5. Are you a Retailer or Personal Customer?
Retailer Personal Customer
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contact info@ittybittybra.com | phone 714.401.6016 | fax 714.544.1641