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IMAGE CONSULTATION/FASHION STYLING

(CLIENT INTAKE FORM)

PERSONAL INFORMATION

Birthday
Day
Month
Year

PERSONAL BRAND IMAGE

What image do you want to portray to the public most of the time?
Powerful
Sophisticated
Sexy
Modest

CONSULTATION SERVICE

Which service(s) are you interested in?
Service Delivery Preference:

SHOPPING HABITS

How do you prefer to shop?
How often do you buy or make new clothes?

STYLE PREFRENCES

BODY PROPORTION ANALYSIS

VERTICAL MEASUREMENTS

ADDITIONAL NOTES

Upload a picture of yourself (front and side view). You can take the picture without showing your full face for now.

I give consent to Ekanem Orok Limited to use my photographs for educational and business promotion purposes. I understand that the photographs may be used on the business website and social media pages. I understand all personal information will remain confidential and will not be used along with the images.

I understand that I can revoke this consent at any time by requesting to do so through the business owner.

FORM SUBMISSION

Application Form Fees
₦25,000

After the Application has been submitted, you will receive the cost breakdown of services tailored on your choice selection.

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