Designer Name

Style Name/Number

Color

Delivery Delivery Standard (16-20 weeks) Rush delivery (on request only/ +15%)

Special requests?

Measurement Information

Now we need your measures! Watch the video to follow the measurement instructions. Now we need your measures! Watch the video to follow the measurement instructions. Yes, I watched the instruction video.

Are your measures in CM of Inch? Are your measures in CM of Inch? CM Inch

Shoulder Width

Waist

Hips

Cupsize

Bust

Arm Length

Inseam

Your total length without heels

Personal Information

First Name

Last Name

Street Address

Adress Line 2

City

State

Postal / Zip Code

Country

Phonenumber

Email

Creditcardtype Creditcardtype Matercard Visa Amex (+5%)

Name Cardholder

Cardnumber

Expiration date mm/yy

CVC number

New Field New Field I authorize Bloomfeld to charge my creditcard for the order of my wedding dress.

Number

Designer Name

Style Name/Number

Color

Delivery Delivery Standard (16-20 weeks) Rush delivery (on request only/ +15%)

Special requests?

Measurement Information

Now we need your measures! Watch the video to follow the measurement instructions. Now we need your measures! Watch the video to follow the measurement instructions. Yes, I watched the instruction video.

Are your measures in CM of Inch? Are your measures in CM of Inch? CM Inch

Shoulder Width

Waist

Hips

Cupsize

Bust

Arm Length

Inseam

Your total length without heels

Personal Information

First Name

Last Name

Street Address

Adress Line 2

City

State

Postal / Zip Code

Country

Phonenumber

Email

Creditcardtype Creditcardtype Matercard Visa Amex (+5%)

Name Cardholder

Cardnumber

Expiration date mm/yy

CVC number

New Field New Field I authorize Bloomfeld to charge my creditcard for the order of my wedding dress.

Number