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Total Image Consultants - Personal Image Consultant, Ginger Burr

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Please take a few minutes to fill out the following form if you are interested in any services of Total Image Consultants.

If you prefer, simply contact Ginger Burr via Email at ginger@totalimageconsultants.com or by phone at (617)-625-5225 or (800) 380-8726. Any information you submit will be confidential and will be only used for Total Image Consultants.

Client Profile Form
Personal Data
First Name:
Last Name:
Address1:
Address2:
City:
State:
Zip/Postal Code:
Country:
Phone (day):
Phone (eve):
Fax:
Email:
Age Group:
Birth Month
Birth Day (i.e. 24th)
Hair
Hair Color:
Other Hair Color
Services
What Services would be most helpful to you (please check all that apply):
Personalized Color Analysis
Makeup Instruction
Style Analysis
Hair
Presentations/Seminars/Workshops
Makeup Application for Weddings, etc.
Wardrobe Audit, Organization & Planning
Accessorizing
Personal Shopping
Fashion Fit Formula
Other
Color Analysis
If you have been color analyzed, were you a:
Do you refer to these colors when you shop?
MakeUp Information
Do you currently wear makeup?
If yes, would you consider it:
Shopping Habits
Do you like to shop?
If not, what do you find most frustrating about it?
Image Concerns
What are your three most pressing image concerns:

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© 1999-2008 All Content Total Image Consultants, Ginger Burr, AICI
Serving the Boston area from Rte. 1A, Lynn, MA 01902
617-625-5225 or 800-380-8726 (Tel) 781-842-4694 (Fax) | Email Ginger Burr
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