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Special Order Submission Form

* Indicates required field

Name *

First

Last

Email or Phone Number *

Phone number format (000) 000-0000

Type of Costume *

Class Level (Peasant, Merchant, Court, Royal, Other- Please Specify) and Size (Infant's, Child's, Misses', Woman's, Men's)

Price/Money Paid *

(Total Price of Costume)/(Amount so far Paid)

Additional Information *

Colour Preferences, Dags or no, Peplum or no, etc.

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