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Name

First

Last
 
Email
 
Phone
 
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
 
Garment type
 
Material
Silk + $95
Polyestor + $50
Unknown + $120
Other + $0 - $120
 
 
If Other please describe
 
Beading/Sequins?
Light beading/sequins + $50
Scattered beading/sequins + $75
Heavy beading/sequins all over +$95
No beading/sequins + $0
 
 
Boxing
 
Extras
Veil + $0
Hoop + $20
 
 
Train?
Yes
No
 
 
If yes what legnth approx.
 
Marks
yes
no
 
 
if yes please describe?
 
Upload a photo if availble.
 
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