Consultation Form

CUSTOM BIKINI CONSULTATION FORM
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Details*

Email address
Social Media

Instagram
Date of first competition*

MonthDayYear
Date
Category/Federation*

CategoryFederation
2nd Competiton Date (if applicable)

MonthDayYear
Date
Category/Federation (if applicable)

CategoryFederation
Further date (if applicable)

MonthDayYear
Date
Category/Federation (if applicable)

CategoryFederation
How you'd like your bikini to look*

Design/ bikini name/style Crystal Coverage eg (L1, L2, L3, L4)
Style Details*

Ideal Choice of Colour (if unsure type unsure - the more detail we have the better we can prepare ahead of your consultation)Ideal Connectors
Extras required please tick : Rentals Jewellery Robe Shoes*
Should be Empty:

CUSTOM BIKINI CONSULTATION FORM