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Your name ________________________________
Mailing address ________________________________
________________________________
________________________________
E-mail address _________________________________
Costume type _________________________________
Price $___.__
Skirt size ______
Waist ______
Hips ______
Skirt length ______
Bust ______
Around neck ______
Across Shoulders ______
Over shoulders (for collar) ______
Clip or pierced earrings? ______
Around bicep ______
Elbow to finger ______
Around elbow ______
Any special requests? _________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Date you need the costume by: __.__.__
Do you have a website? If so, please tell me the URL and I'll be happy to put a link on my page.
http://________________________________________________________________
Send your payment (check or money order) to:
Olivia Loupee
303 Bloody Marsh Road
St. Simons Island, GA 31522-2705
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