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Earnings from the clothing industry are very large. But, as malls and other retail establishments see a decline in foot traffic, many business owners have had to get creative in order to maintain sales levels. It would be an understatement to call American culture fashionable. In terms of creativity, risk-taking, and foresight, American brands are perennial trendsetters. New York City has become one of the world's foremost fashion capitals thanks in large part to New York Fashion Week. Twice yearly, major American design houses in Los Angeles and New York City travel the globe to showcase their latest collections to the rest of the world. Frenzy that rivals fashion-forward cities like Tokyo, Paris, and Milan is common since A-list celebrities frequent the area. The five most popular apparel manufacturers in the United States are as follows: