Your Name *

Contact Number *

Your Email *

Appointment Type
---Wedding Dress & AccessoriesProm & Evening DressBridesmaid DressFlower Girls & Holy Communion DressBespoke Dress ServiceDress Alteration Serive

Is this your first appointment?
---YesNo, I had some previous with June Peony Bridal CoutureNo, I had some appointment elsewhere

Appointment Date （DD/MM/YYYY）

Appointment Time (We will confirm the time with you by phone/email)
---10:00am10:30am11:00am11:30am12:00pm12:30pm1:00pm1:30pm2:00pm2:30pm3:00pm3:30pm4:00pm4:30pm5:00pm

Did you have any flu like symptoms for the past few weeks? (e.g. Fever, Cough)*

if you had a high temperature or a new continuous cough recently, please contact NHS 111 for instructions

Due to the COVID-19 Pandemic, to protect all our customers and staffs, every visitor coming into our boutique, must wear a face mask. If you don't have face mask, you can purchase one from our shop on your arrival.*
Do you have a face mask for this appointment?*
Yes, I have my own face maskNo, I would like to purchase one disposable mask (£1 each)No, I would like to purchase one KN95 mask (£3 each)

Your Dress Size?*
---46810121416182022242628303234363840

How much is your budget?*
Upto £399£400 - £799£800 - £1199£1200 - £1499£1500 - £1999£2000 - £2999£3000 - £4999£5000 or over

How many people will attend to this appointment with you? (Max.2 Guests for brides)

---12

Your Event Date (Wedding, Prom, Communion & Party Date)（DD/MM/YYYY）

Other requirements

Δ