Client Consultation Intake Form

Full Name *

Email Address *

Phone Number *

Preferred Method of Contact *
[radio* contact-method use_label_element "Email" "Phone" "Text"]

Event Details

Type of Event *
[radio* event-type use_label_element "Wedding" "Prom" "Other"]

Event Date *

Event Location *

Is this your first time working with a custom designer? *
[radio* first-time-designer use_label_element "Yes" "No"]

Design Vision

Upload Inspiration Photo

Budget & Timeline

Desired Budget Range *
—Please choose an option—$1,000 – $2,000$2,000 – $3,500$3,500+

Additional Information

Is there anything else you’d like us to know about your vision or expectations?

Policies Acknowledgment *

[checkbox* policies use_label_element
"I understand that Laneka Signature specializes in custom-made gowns only."
"I acknowledge the $50