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I had this problem recently, needed a shirt in a pinch. Ended up at TM Lewin's Jermyn St store where they stock 35" arm slim fit shirts. I'm 6'6" with a 15.5" neck and they sorted me out. Any longer in the arm and you need to order online.
Also would recommend TM Lewin as they let me bring my bike into the shop and wander around picking a shirt whilst in lycra.
I'm very tall and fairly slim with long arms, and I'm after some smart shirts for work that don't resemble tents in the larger sizes I need to buy for the length.
Are there any high street shops that cater for such proportions?