Appointment Request Form
- Special Occasion - Mother of the Bride/Groom -
Client Name
*
First Name
Last Name
Contact Number
*
Please enter a valid Cellphone number.
Email Address
example@example.com
Where are you from? Town/City?
How Tall are you?
*
Your Dress size currently?
*
Please Select
28
30
32
34
36
38
40
42
44
46
48
50
52+
For which occasion are you Shopping?
*
Please Select
Gr10 Ball
Special Occasion
Mother of the Bride
Mother of the Groom
Wedding Guest
Black Tie event
Day event
Dinee / Ball
2nd Wedding
Awards Ceremony
Fashion wear
Bridesmaids
What style outfit are you looking for?
Please Select
Unsure
Romantic
Formal
Plain
Something Lacy
Trendy
Classic Style
Bling-Bling
Sequence
Something Classic with a little bling
When is your Occasion ?
What is your Budget for your outfit?
*
Please Select
R500 - R1000
R1000 - R2000
R2000 - R3000
R3000 - R4000
R4000 - R5000
R5000 - R6000
R7000 - R8000
R8000 - R10000
R10000+
Occasion Color pallette?
What color do you NOT want?
Upload a Photo of yourself Full length and recent. Add your idea photos here aswell.
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What date and time work best for you?
*
Any other specific date and time, if the above selection is not available?
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Any additional notes you would like us to keep in mind for your fitting?
Would you like to be notified about promotional services?
Yes
No
Please note - Alterations is an additional service delivered by a 3rd party. Orders on items is subject to a R450 order fee where applicable.
*
Agree
Submit
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