Registration Form - CYMBELINE USA

*Chose Location:

Bride Informations
*First Name
Middle Initials
*Last Name
*Address
*City
*State
*Zip
*Phone Home
Work
Cellular
*Country
*Email

Wedding Information
*Date
*Time
Place
Country

Wedding Style:
Number of guests attending?


HOW DID YOU HEAR ABOUT CYMBELINE?
Internet
Magazines
Word of mouth (name)
Other

HOW DID YOU HEAR ABOUT OUR BOUTIQUE?
Internet
Magazines
Word of mouth (name)
Other


WHEN WOULD YOU LIKE TO COME IN?
*After choosing your appointment preferences we will contact you to narrow down exact day and time.

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

*Please choose the way you would prefer to be contacted:

Will anyone be joining you at your appointment?

Mother of the Bride
Mother of the Groom
Maid of Honor
How many
Bridesmaid
How many
Friend
How many
Family Member
How many
Others
How many


List your gown preferences from Cymbeline and Mariees de Paris:

*1
2
3
4


*What price point have you considered for your wedding gown?  

*Are you open to purchasing a floor sample?  


Please let us know if there is something else you think we should know about your wedding or you.

* Please note that informations with red stars are required.