Registration Form

If you would like to get updates on when new inventory comes in, any events are coming up, have a simple question, find out if a certain style of dress has came in, or would like to keep up to date on what new trends are in for your upcoming event then fill out our registration form!


Name*
School and current grade
Date of Birth
What is your wear date?
Would you like to join our mailing list(via email)?*
Email Address*
Phone Number
City and State*
Graduation Year
Comments or Questions?


 
Don Galani Boutique 5876 E. State St Rockford, IL 61108 P:815-904-6324 Email: support@dongalani.com