Online Order Form

Purchaser: ^*		Coach:
Customer: ^*		Age: ^*
School/Group:
Address: ^*
Phone: ^*		Cell:
Email: ^*
Are you a return customer? No Yes

Date Ordered: ^*

Ship Date:

^{(For Sales Rep to Complete)}

Date Needed: ^*

Costume

Strut: ^*	Yes No
Solo: ^*	Yes No
Other: ^*	Yes No
Nude: ^*

Rhinestoning

Stones: ^*	Yes No
Stoning Budget:
Stoning Details:

Measurements

Bust: ^*	Sleeve Length:	Pant Length:
Waist: ^*	Upper Arm:	Leg Width:
Hip: ^*	Lower Arm:
Girth: ^*	Wrist:	Other:

Accessories
Hair Piece:	Arm Band:	Gauntlets:
Scrunchie:	Bra Cups:	Other:

Notes :

"Chelsea's costumes are gorgeous! She loves them, they are just perfect on her. Thank you so much. Both costumes are fantastic and I think the one piece is the most beautiful costume I have ever seen!"

Kelli Russell, Iowa City, Iowa