• Personal Shopper Form

• 
  
• Name
• Email
• Phone

  --
• Address

  Street Address 1

  Street Address 2

  City

  State/Province/Region

  Postal/Zip Code

  Country
• 
  
• What type of product are you searching for? Select Appliances Beauty Decor Electronics Fashion Home & Garden Sporting Goods Toys Other
• Please give a detailed description of the item.*
• What is your budget?*
• What is your personal style?* Select Artsy Classic Eclectic Fun Modern Traditional
• Please list your current favorite stores/websites for this type of item.
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• What is your timeline for purchasing this item?

  ASAP 1-3 months 3-6 months 6-9 months 9-12 months I year or more
• Have you tried to find this product on your own?

  Yes No
• Where have you previously searched?

  Online In Store Word of Mouth
• Have you previously worked with a personal shopper?

  Yes No
• Best way to contact you

  Email Phone