| Name: |
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| Services Requested: |
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| Requested Date: |
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| Requested Time: |
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| Preferred Provider: (if applicable) |
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| For hair removal services is Wax, sugar or laser preferred? |
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| do you have hair extensions? |
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| For Massage: (Length of Massage 50, 80 or 100 minutes) |
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| Type of Massage: |
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| Questions or Comments: |
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| Certificate or Pre-Paid voucher number and type of voucher (if any) (required at time of booking):
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| Would you prefer a silent appointment today? |
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| Would you like to include a complimentary skin consultation with your services? |
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| Would you like to know more about our Memberships? |
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| Would you like to include and hair wash & style after your services? |
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| Would you like to include a Jade Pod visit to your services? |
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| Phone: |
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| Email: |
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| Date Of Birth: |
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| Preferred method of contact (text, email or phone): |
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| Gender Preference: (if any) |
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Thank you for choosing our services!
To ensure that your appointment is successfully booked and held,
we require your credit card details. However, we understand that providing these details
online might not always be convenient for everyone.
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Our team will promptly contact you to finalize the payment process
and ensure the utmost confidentiality and security of your data.
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We appreciate your understanding and look forward to serving you!
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| How would you like to be contacted? |
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