JealousyJane Couture Client Intake Form
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First name *
Last name *
Email *
Address *
Phone *
Birthday *
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How did you hear about JealousyJane? *
Who referred you? *
Do you have a deadline or wedding date? *
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What is your budget or price point? *
What kind of Couture design are you interested in? *
Do you know specifically what you are looking in a couture fashion design, or do you prefer to designer to have freedom to create her artistic vision for you? *
Do you have any links to designs or images that may help illustrate your ideas to JealousyJane? *
Any specific notes, questions or concerns? *
Do you use facebook? If so what is your listed name? *
Do you have a make up artist for you event? (we offer professional makeup and Hair services also) *
Do you have a photographer for you event? (we offer professional photography services also) *
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