Order Request
After you fill out this order request, we will contact you to go over details before the order is completed.
Email *
Are you a new or existing customer?
Clear selection
What is the item you would like to order? *
If you want more than one please note that in the text field below
Required
How would you like to receive your order *
Required
Payments can be made via PayPal or Venmo
Venmo: @Shannon-MURPHY-136 or PayPal.me/ShannonAudreyMurphy

Order will not be processed until a payment is made.
Your name and address (if picking up from DANCEWEAR ON BROAD no need to add your address) *
Phone number *
Preferred contact method *
Required
Questions and comments
A copy of your responses will be emailed to the address you provided.
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