Client Intake Form
Please fill out the name of the person who will be receiving the press ons
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Shipping address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
When is your birthday? (you get a 10% discount for your birthday)
*
-
Month
-
Day
Year
Date
What type of service are you interested in booking? (select all that apply)
*
Custom Press On Order (shipped)
Notary Services
Financial Literacy Seminar
Other
Are you getting $14 Valentine's Day nails)
Yes (see the details on Instagram @OkeiBeautiful)
No
I understand that ALL orders are non refundable.
*
Yes
Upload a photo of the set you would like me to recreate.
*
Upload Photo
Drag and drop files here
Choose a file
Cancel
of
Please type any questions, concerns, or requests here.
How did you hear about us?
*
Please Select
A friend
Instagram
Facebook
Google
Found your business card
Other
What is your Instagram?
*
Who referred you?
*
Where did you find my card?
*
Submit
Should be Empty: