Client Questionnaiire Form

Titty Tape Application Questionnaire
Name,*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
Contact Number*

Area CodePhone Number
Partner's Name, if Bride:

First NameLast Name
Date of the Event*

MonthDayYear
Who are we applying Titty Tape for:*

BrideBridesmaidMother of the BrideSpecial Occasion
What time will you begin getting dressed? *
Venue:
Location you plan to get dressed: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Wedding Planner Name/ Emergency Contact Person Name:*
Wedding Planner/ Emergency Contact Phone Number:*
Will you need to purchase Titty Tape for the dress? (We will only apply our product.)*

YesNo
If yes, what color?

BlackBronzeCaramelChocolateLight NudeNude
Have you used Titty Tape before?*

YesNo
Which dress will you need Titty Tape applied for?*

Casual outfitGown/Formal WearWedding DressReception Dress
Have you purchased your dress?*

YesNo
If yes, what color is your dress?
Upload photo of the dress:

Browse Files

Cancelof
How many people are in your bridal party, (groomsmen & bridesmaids)?
Maid of Honor Name:
How did you hear about Rebel by Lily B.?*

InstagramWebsiteGoogleFriend or FamilyToday's Bridal ShowShade's Bridal ShowOther Vendor Show
Will there be any unique events happening at the event that I should be made aware of prior?
You will received a custom package within 48hrs. Please feel free to contact me at lilybdesignz@gmail.com or phone 216-978-2267 if you have any additional questions.

Looking forward to working with you!
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Titty Tape Application Questionnaire