Name
E-mail
Phone #
Type of Custom Wings
Flutter
Rose
Lotus
Other(explain below)
Colors Wanted: from center to tip of wings
Glitter?
None
One Side
2-sides
Type of Glitter
None
Swirls
All over
Other(explain below)
Color of Glitter?
Color-Elastic arm straps
White elastic
Black elastic
Bodice extension(strapless)
Message/Other Details
Date needed by:
-
Month
-
Day
Year
at
/
Hour
Minutes
AM
PM
Submit
Should be Empty: