Special Order Request
Hello! Subsequent to filling out this order request, we will contact you to go over the details of your order and availability before your order is processed.

If you would rather speak to us, please contact us at +234(0) 817 700 0333 (10am-6pm; Monday-Saturday).
Email *
May we know if you have a LuxxeCoast.com account? *
May we get details of the item(s) that you would like to order? STORE NAME(S) and PRODUCT CODE(S) ONLY.

Please enter the store name first and the product code in bracket.
 *
What COLOUR(S) would you like to order? *
May we know what SIZE(S) you would like to order? Your PREFERRED FIT as well, if applicable?

Please enter the product code and the product size in bracket.
 *
May we get your first & last name, please? *
Phone number *
Preferred contact method *
Required
Additional information (if any)
A copy of your responses will be emailed to the address you provided.
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