Balenciaga client trauma intake form

December 4 2022

Balenciaga Intake

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Please fill out the form. We will review your request and follow up with you as soon as possible.

First Name

Middle Name

Last Name

Phone

Radio Field

Male

Female

Your age?

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Approximate Date you saw the images

Please describe where you were and how you felt about the images

Select as many as apply to you

Please describe in more detail your claim and approximate loss financially

Are there any witnesses or supporting evidence?

Upload any supporting documents in pdf or .doc or image

Choose File

Referred by? Add the name of person or law firm that referred you

All the data I submitted is truthful to the best of my knowledge, and I am responsible for that under possible penalty of perjury.

The clients that we represent affected by these campaigns by Balenciaga come from all walks of life, from every profession and from over 50 nations across the world.

The damages sustained by our clients range from and are not limited to,

Psychological trauma

Suicidal behaviour

Inability to sleep

Recurring nightmares

Loss of appetite

Flashbacks of childhood trauma

Disgust with my Balenciaga wardrobe

Loss of reputation being photographed with Balenciaga outfits

Being forced to remove all of my images from social media and websites with my Balenciaga fashion

Having to explain myself about my fashion choices

Wasting my time and casting innuendo upon me and my reputation

Having to retake wedding and other photos

Inability to work

Loss of focus

Loss of business opportunity

Balenciaga client trauma intake form

Balenciaga Intake

Please fill out the form. We will review your request and follow up with you as soon as possible.

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