Request an Appointment
(
*
Fields are required)
Name:
*
Email:
*
Day Time Phone
:
*
Evening Time Phone
:
*
What service
are you
requesting?
*
Waxing
Facials
Massage
Permanent Make Up
Spa Day
Other
Who would you like to
request?
*
First Available
Crystal
Tamye
Margaret
Sylvia
Loretta
1st choice:
*
Date:
Time:
AM
PM
or Time:
AM
PM
2nd choice:
Date:
Time:
AM
PM
or Time:
AM
PM
Please describe the
exact services that you
are requesting so that
we may book you
correctly and allow
enough time.:
How did you hear about
us?
Referral
Web Site
Add
Other
This request does not guarantee your appointment. We will e-mail you back or call you for a confirmation, this is just a request. If you do not hear from us please call 4807528100
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