| Name |
| Address |
| City
State Zip |
| Day Phone |
| Visa/MC/AMEX.#
Exp. Date |
| Tex
Exempt # |
| Signature |
|

|
| Suit |
| Appliqué |
| Skirt |
| Flute/No
Flute |
| Sleeve |
| Leg Cut:
Grow Pleat |
| Facing-Binding
Lining |
Scrunchy
Budget
|
|
YOUR MEASUREMENTS
|
| Bust |
|
Rise |
| Waist |
|
Neck |
| Hips |
|
Across Back |
| Girth Right
Left |
|
Age |
| Arm to Wrist |
|
Height |
| To
Knuckle |
|
Upper Arm |
| Thigh |
|
Forearm |
| Inseam |
|
Wrist |
* Minimum 50% non-refundable
deposit is needed to begin a custom order. Changes made to costumes after
completion are costs absorbed by customer. Store credit only. |
|
| DESCRIPTION |
PRICE |
| Back Style |
|
| Appliqué |
|
| Skirt |
|
| Grow Pleat (If Desired) |
|
| Arms |
|
| Line
Costume |
|
| Special
Fabric |
|
| Hair
Piece |
|
| Trim |
|
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|
| Sew-On
Time Pin-On Time Send Trim |
|
| Stone
Time |
|
| Alteration |
|
| Goods
For Resale |
|
| Allowance |
|
| Subtotal |
|
| IL Only 8.25% Tax |
|
| Shipping &
Handing |
|
| Rush |
|
| Total |
|
| Enclosed Deposit |
|
| Due |
|
|