Style Intake Form
Shopper Information
Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Sizing Info
Height (ft/in)
Clothing Fit (Petite, Regular, Plus Size)
Petite
Regular
Plus Size
Bust Size / Bra Size
Blouse/Shirt Size (US Size)
X-Small
Small
Medium
Large
X-Large
XX- Large
Pant Size (US Size)
0-2
2-4
4-6
6-8
8-10
10-12
14-16
16+
Waist Size (cm)
optional
Hips Size (cm)
optional
Dress Size (US Sizes)
X-Small
Small
Medium
Large
X-Large
XX-Large
Other
If other, please add sizing info.
Optional
Shoe Size (US Sizes)
Style Services
Event Type
Everyday wear
Business Casual
Special Occasion
Wardrobe Revamp
Other
If other, please specify.
Optional
Date of Event
-
Month
-
Day
Year
Date
Budget (Service fees not included)
Items Requested
Provide a brief summary of items needed and any special considerations to accommodate your style.
Submit
Should be Empty: