CG Couture Appointment Form
Full Name
First Name
Last Name
Today's Date
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Day
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Month
Year
Date
Clariscia is available Monday to Friday by appointment ONLY
Saturdays available by appointment only on the hour from 13:00 to 17:00
Desired Appointment Date
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Day
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Month
Year
Date
Desired Appointment Time
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Hour
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10
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30
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50
Minutes
AM
PM
AM/PM Option
Your Contact Details
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Area Code
Phone Number
Mobile Phone Number
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Area Code
Phone Number
Email
example@example.com
Your Size Details
Your Height
Ladies Measurements
Bra Size (including Cup measurement)
Your Dress Size from the waist up: eg - 8, 12, 16 etc
Your UK Skirt Size from the waist down: eg - 8, 12, 16 etc
Men's Measurements
Chest Size
Waist Size in inches: e.g. 28, 30, 32 etc
Collar Size in UK size: e.g. 14, 14.5, 15 etc
Your Couture Garment Details
What would you like us to create & make for you?
Do you have a specific event or use in mind for the garment?
What date would you like your Couture garment to be completed by?
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Day
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Month
Year
Date
Additional Comments
How did you hear about CG Couture?
SUBMIT
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