Registration/Inquiry Form

IF YOU HAVE ANY QUESTIONS REGARDING STOCK AVAILABILITY, PLEASE GIVE US A CALL AT OUR STORE LOCATION DURING OUR NORMAL BUSINESS HOURS BY CALLING 619-420-1553

THANK YOU AND HOPE TO SEE YOU AT CHRISTINA'S SOON!

First and Last Name*:

Address*:

City*:

State*:

Zip Code*:

Phone Number*

What grade are you in?:

What is the name of your school? (for prom registration):

When is the date of your occasion?*:

Email address*:

Comments or Questions?: