Appointment Request Form

Email address, phone number and credit card
are required to book an appointment.

If you already have a credit card on file with us, you do not need to provide one again.

NAME

SERVICES REQUESTED:

FOR HAIR REMOVAL SERVICES IS WAXING OR SUGARING PREFERRED?

REQUESTED DATE:

YYYY

REQUESTED TIME:

Hour

Minute

Second

PREFERRED PROVIDER: (IF APPLICABLE)

FOR MASSAGE: (LENGTH OF MASSAGE 50, 80 OR 100 MINUTES)

TYPE OF MASSAGE:

QUESTIONS OR COMMENTS:

CERTIFICATE OR PRE-PAID VOUCHER NUMBER AND TYPE OF VOUCHER (IF ANY) (REQUIRED AT TIME OF BOOKING):

Would you like to include a complimentary skin consultation with your services?

Would you like to know more about our Memberships?

PHONE:

Date Of Birth

YYYY

PREFERRED METHOD OF CONTACT (TEXT, EMAIL OR PHONE):

GENDER PREFERENCE: (IF ANY)