Name *

First Name

Last Name

Phone Number

(###)

###

####

RESPONSE TYPE

PLEASE CALL ME

PLEASE EMAIL ME

EITHER IS FINE

Inquiry Type *

What are you looking for?

General Inquiry

Wedding (Bride)

Party

Photoshoot

Engagement/Civil Wedding

Workshops/Lessons

Regarding Nila Thana Cosmetics

Other

Services Required

Makeup Application

Hairstyling

Saree Draping

Date of Event *

MM

DD

YYYY

Additional Date (OPTIONAL)

MM

DD

YYYY

Where?

In Studio (pickering)

On Location

Address (if on location)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Time to be ready by?

Hour

Minute

Second

AM PM