Contact SIMPLY UNIQUE Paulette Braithwaite President/CEO 4220 Langley Court Virginia Beach, VA 23453 Office (757) 416-0219 Mobile (757) 639-2404 pbsimplyunique2@gmail.com Customer InformationNew/Existing New Customer Existing Customer Name* First Last Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* PhoneReason for ContactWould you like to host a party to earn free jewelry? Yes No What type of party? Basket Home FB Online Business Would you like to become a Paparazzi Consultant? Yes Need more information No thanks I would like toSchedule an appointment to shop in your boutiqueSchedule a bridal consultationDiscuss Corporate giftsOrder a gift basketPurchase a gift certificateSchedule an "accessorizing" workshopOtherCAPTCHANameThis field is for validation purposes and should be left unchanged.
