New Client Form

Packet Details

(4) Hours of Personal Shopping (Minimum)

(4) Styling Consulting Sessions

(4) Style Boards
Client Details:
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
E-mail *
Services I’m Interested In: (Personal shopping is included with both) *

Upgrade My Closet Find My Style
How would you describe your current style? *
Upload (2) photos of people with the style(s) of your choice:
*

Browse Files

Cancel of
*

Browse Files

Cancel of
There is a $300* Minimum.

(Includes 4 hours of shopping.)

If you desire additional hours, please be sure to select below.

After payment is complete, an agreement will be sent over to the email above and the inital "First Talk" consultation will be scheduled.

*Direct Invoices have a 3% processing fee.
How many additional hours of styling/personal shopping will you need? *

Two Additional Hours - $100 Four Additional Hours - $200 Six Additional Hours - $300
What is your shopping budget? *

$300 $500 $700 $900+
Payment Type *

Direct Invoice Venmo Cash App Apple Pay Zelle Pay
How did you hear about BreAna? *
Should be Empty:

Client Details: