Name
              
                * 
              
             
          
                
                
                  
                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email Address
              
                * 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone
              
                * 
              
             
          
                
                
                
                  
                    (###) 
                   
                
                
                  
                    ### 
                   
                
                
                  
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Fiancé's Name
              
                * 
              
             
          
                
                
                  
                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Fiancé's Email Address
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Fiancé's Phone
              
             
          
                
                
                
                  
                    (###) 
                   
                
                
                  
                    ### 
                   
                
                
                  
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Mailing Address
              
             
          
                
                
                  
                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Event Date
              
                * 
              
             
          
                
                
                  
                    MM 
                   
                
                
                  
                    DD 
                   
                
                
                  
                    YYYY 
                   
                
               
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Ceremony Venue
              
                * 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Reception Venue
              
                * 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Approximate Guest Count
              
                * 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are there children included in the guest list?
              
                * 
              
             
          
                
                
                
                  
                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
                
            
              Number of Bridesmaids
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
                
            
              Number of Groomsmen
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
                
            
              Number of Flower Girls
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
                
            
              Number Ring Bearers
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Scope of Assistance Needed
              
                * 
              
             
          
                
                
                
                  
                    Full Planning with Wedding Day Set-Up, Styling and Management 
                  
                    Partial Planning with Wedding Day Set-Up, Styling and Management 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Specific Areas of Assistance Needed (Click All That Apply)
              
                * 
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Style & Vibe: Colour palette, Design Aesthetic, Current Styling Ideas (Or... We don't know! Please help!)
              
                * 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Company Name of Other Vendors Already Booked (Florist, Photographer, Videographer, Baker, DJ, etc)
              
                * 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Overall Wedding Budget
              
                * 
              
             
          
                
                
                
                  
                    under $30,000 
                  
                    $30,000-$40,000 
                  
                    $40,000-$50,000 
                  
                    $50,000-$60,000 
                  
                    $60,000-$70,000 
                  
                    $70,000-$80,000 
                  
                    $80,000+ 
                  
                    $100,000+ 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Budget set aside for Pre-Wedding Planning and Day-Of Set-Up & Coordination Services
              
                * 
              
             
          
                
                
                
                  
                    $4,000 to $4,500 
                  
                    $4,500 to $5,000 
                  
                    $5,000 to $5,500 
                  
                    $5,500 to $6,000 
                  
                    $6,000+ 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Are there any cultural traditions you would like incorporated to honour your or your fiancé's heritage? (Ceremonies/rituals, food offerings, decor elements, etc.)
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Additional Info: Is there anything else you would like us to know about your special day?
              
                * 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How did you hear about Chemistry?
              
                * 
              
             
          
                
                
                
                  
                    Vendor Referral 
                  
                    Venue Referral 
                  
                    Past Client Referral 
                  
                    Instagram Search 
                  
                    Sponsored Instagram Ad 
                  
                    Wedding Wire 
                  
                    Google Search 
                  
                    Bridal Expo 
                  
                    Wedding Fair 
                  
                     
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              If referred by a Vendor, Venue or Past Client, please let us know who that was so we can send them some love!
              
                *