#comeshopwithayogi


Name *
Name
Phone
Phone
Address *
Address
If you are in job transition and or retired - feel free to indicate either.
Indicate NA if does not apply.
Or indicate the area you most likely want to change.
If so, what part?
In what type of clothing do you feel like you currently need the most help? *
What look would you like to attain?
Friend, co-worker, celebrity