SALT BOX REGISTRATION & STYLE PROFILE Salt Box Questionnaire Name First Last Last Birthday * Phone Email Address * Address Address 1 Address 1 Address 2 (Suite, Unit/Apt #) Address 2 (Suite, Unit/Apt #) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Height * Weight * Shirt Size * XS S M L XL XXL How Do You Like Your Shirts to Fit? * Slim (Very Fitted) Contemporary (Slim, but not too fitted) Classic (More Room in the Chest & Waist, Easy Fit) Blazer Size * Shoe Size * Pant Size * Waist x Inseam (Ex. 34Wx32L) How Do You like Your Pants to Fit? * Slim Straight Relaxed Tapered Favorite Brands: * Favorite Styles / Immediate Needs: * Salt Box Subscription * Monthly Quarterly (March, June, Sept, Dec) Budget For Box Delivery * $500 $1,000 $2,500 We discount what you keep. Keep $500 = 5% Discount Keep $1,000 = 10% Discount Keep $2,500 = 20% Discount Start Date for First Salt Box * Additional Comments // Notes // Message: If you are human, leave this field blank. Submit Δ
