NEW WAVE Registration Form

Full Name*

First NameLast Name

Address*

Street Address

Street Address 2

CityState/Province

Postal / Zip CodeCountry

Phone Number*

Format: (000) 000-0000.

E-mail*

example@example.com

COSTUMES

NEW WAVE FRONTLINE 3 (Skimpy)

KilluhBae Package [Limited] Package includes: - Wire Bra Monokini - XS Feathers - Chain Tiara - Sunglasses - Bangles - Choker Necklace - Arm Bag without Chain - Thigh Bag with Chain - @killuh.pieces Free Gift - @Killuh.pieces Gift Card

$500.00 QuantityBra SizePanty SizeFeather Upgrade Packages
Item subtotal:$0.00

NEW WAVE MIDLINE

This costume selection has different Packaging Options based on the size feathers and accessories included.

$ Free PACKAGEQUANTITYSIZEHEADPIECE
Item subtotal:$0.00

NEW WAVE BACKLINE 2 (Skimpy)

KilluhBae Package [Limited] Package includes - Bikini - Sunglasses - Bangles - Choker - Arm Bag/Thigh Bag without Chain - @killuh.pieces Gift Card - @killuh.pieces Free Gift - Khepri Goodie Bag

$365.00 QuantityTOP SIZEPanty SizeFeather Upgrade PackagesACCESSORY
Item subtotal:$0.00

TRENDSETTA FRONTLINE

This costume selection has different Packaging Options based on size feathers and accessories included. Please see images in slide to see what is included in each package.

$475.00 QuantityPACKAGING OPTIONSWire Bra CupPanty SizeHEADPIECE

TRENDSETTA MIDLINE 1

This costume selection has different Packaging Options based on size feathers and accessories included.

$800.00 QuantityPACKAGE OPTIONMONOKINI SIZEHEADPIECE
Item subtotal:$0.00

TRENDSETTA MIDLINE 2

This costume selection has different Packaging Options based on size feathers and accessories included. Please see images in slide to see what is included in each package.

$800.00 QuantityPACKAGE OPTIONTOP SIZEPANTY SIZEHEADPIECE
Item subtotal:$0.00

TRENDSETTA BACKLINE 1

This costume selection has different Packaging Options based on size feathers and accessories included. Please see Images in slide to see what is included in each package

$635.00 QuantityPACKAGE OPTIONSIZEHEADPIECE

TRENDSETTA BACKLINE 2

This costume selection has different package options based on the size feathers included. Please view images in slide to see what is included in each package.

$635.00 QuantityPACKAGE OPTIONTOP SIZEPANTY SIZEHEADPIECE

INSTAWILD FRONTLINE

$730.00 QuantityPACKAGE OPTIONWIRE BRAPANTY SIZE
Item subtotal:$0.00

INSTAWILD MIDLINE

$700.00 QuantityPACKAGE OPTIONMONOKINI SIZE
Item subtotal:$0.00

INSTAWILD BACKLINE 1

$375.00 QuantitySIZEPACKAGE OPTION

INSTAWILD BACKLINE 2

$375.00 QuantityTOP SIZEPANTY SIZEPACKAGE OPTION
Item subtotal:$0.00

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Who Do You Want to Assign Your House Points to?*

Additional Notes

please list instructions or requests here. requests which are included in the package will only be fulfilled. please review the package info for your section. customizations of costumes will not be fulfilled and will be the masquerader's responsibility.

Signature*

By Signing The Above, You Acknowledge that Khepri will not be held responsible for incorrect sizes and information entered in the form. You also acknowledge that you have initiated a service contract and where the Initial Deposit is non-refundable for services rendered. Refunds issued will be ONLY applied To The Khepri Maquerader Bank for customers to re-issue as a gift card to be applied to the following year.

Registration Details