Costume Rental Request Form

Maxine's Emporium
Costume rental request form

Complete the following details and select from our range of costumes to hire. Please note that we have a strict return policy that you must agree to before requesting one our costumes.
Date of request
/
/
Please enter a valid date
Full name
This question is required
Email address
Please enter a valid email
Mobile
This question is required


C O S T U M E S 
Select from our range of costumes.
Holidays
Santa (Suit & Hat) $40
St Patricks Day (Shorts & Hat) $40
Mardi Gras (Shirt, Hat & Beads) $50
This question is required
Halloween
Witch (Dress & Wand) $30
Ghost (Dress & Headgear) $30
Mummy (Suit) $30
This question is required
Add ons
Santa Hat
Witches Hat
Gloves
Glasses
This question is required


R E Q U E S T  D E T A I L S
Pick up date
/
/
Please enter a valid date
Pick up time
:
PM
Please enter a valid time

Return Policy
"Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum."
Do you agree to the following terms and conditions?
I agree
This question is required
Submit Request


Maxine's Emporium
123 Address Road, City
Mon - Sat 
10am - 4pm
P: 123 45678
E: example@email.com