1. CONTACT DETAILS

Please provide us your contact details so we can get in touch with you to confirm your appointment and discuss your requirements.

Name *

First

Last

Email *

Email

Confirm Email

Contact Phone Number *

2. IDENTITY & LOCATION

To better help us create your bespoke items please tell us how you identify. Please provide us an approximate location to allow a relevantly located team member to contact you.

I Identify As *

Female
Male
Non-Binary
Prefer Not To Say

I Live In... *

3. APPOINTMENT & REQUIREMENTS

Please indicate your preferred appointment date and time. Please tell us about your requirements and provide any supporting materials you wish photos etc.

Preferred Online Appointment Date/Time *

Time

Tell Us About Your Requirements

Upload Any Supporting Images

Click or drag files to this area to upload. You can upload up to 5 files.

4. REVIEW & SUBMIT

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I consent to the collection and use of my personal information by Differently Enabled

Differently Enabled is committed to protecting your privacy and respecting your data. Any personal information which we require to offer our services, is kept only with your consent and is kept secure. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

The Nehru Shirt

Bespoke Appointment Request

If you have your own bespoke clothing request, make an appointment today to chat to our team about your requirements.

1. CONTACT DETAILS

2. IDENTITY & LOCATION

3. APPOINTMENT & REQUIREMENTS

4. REVIEW & SUBMIT

Email us:

hello@differentlyenabled.com