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New Customer Registration Form
1
Full Name
*
This field is required.
First Name
Last Name
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2
Phone Number
*
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3
E-mail
example@example.com
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4
Who recommended you?
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5
What skin type do you have?
*
This field is required.
Please Select
Dry
Oily
Combo
Acne prone
Other
Please Select
Please Select
Dry
Oily
Combo
Acne prone
Other
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6
What kind of coverage are you looking for?
*
This field is required.
Light
Medium
Full/Glam
Light
Medium
Full/Glam
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7
Have you ever used cream makeup before?
*
This field is required.
Yes
No
Yes
No
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8
Image Field
I will need a selfie just like this. Make sure lights are off behind you.
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9
Send me that selfie girl!
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: 10.6MB
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