MAILING ADDRESS
MIA Image
2123 Renaissance Blvd Unit 306
Miramar. FL 33025
Main Phone: 954-663-4577
Telephone: 954-663-4577
FAX: Coming Soon
GET STYLE MIAMI 07 CONFERENCE
Open to all ages.
Gender: open
Time: 9-6pm
Price: $ 1500.00 per person
Location: Ritz Carlton
A one-day hands on seminar that will
give participants the tools for
enhancing personal image...
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CONTACT INFO
Website:
http://www.miaimage.com
Email:
Christina@miaimage.com
Monique@miaimage.com
MIA IMAGE CLIENT QUESTIONNAIRE
Please fill out the form below
and we will get back to you as soon as possible. Otherwise, please just call us to speak to us directy.
Service(s) Interested:
Contact Details:
Name:
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Your Age Group:
Please fill in these questions about your overall Body attributes:
Skin Shade:
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Please Continue To Fill Out The Additional Questions Below:
Your Likes And Dislikes:
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What Is Your Currental Lifestyle:
Are you in need of our services for Business or Pleasure?
Pick a celebrity that you would most like to emulate?
Top three places you like to shop?
What goals have you set for yourself for the next year?
What is the problem that you would like us to address?
Have you tried to correct the problem? How? What happened?
Are there any personal obstacles in the way of changing your style?
What are your favorite Clothes /shoes designer?
What is your long term goal for the new you?
What do you like or dislike about your current wardrobe?
Are you committed to make the necessary changes to accomplish your goal?
How do you envision your new look?
Will I be responsible for the selection of your new wardrobe /ensemble?
Do you have a budget in mind?
Do you have any personal concerns or requests?
When do you want us to start?
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