*Please make sure you have contacted me BEFORE filling this form out*
Name
*
First Name
Last Name
Email
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Address of the location that I will be going to
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Can you please advise where Nails on Wheels can park the Van? Are there any special instructions that I need to be aware of ? Please let me know if the area is uneven.
*
On your appointment date will you have naked nails? Please advise if you will have polish gel acrylics on them at the time of the booking.
*
Please advise on how you will be paying on the day of the booking. (Cash/Eftpos/Afterpay/Zip) If you are paying Cash/Eftpos - Please make your deposit now and send the screenshot to me, so I can confirm your booking (PAYING CASH ? - please bring the correct amount as I dont carry cash)
Do you have a mobility issue in getting in the van? - please communicate this with me. If you can not get into the van there is a option for me to come into your home. (To get into the van it's 3 steps)
Please Select
Yes
No
We have already talked about it
Signature
Submit
Should be Empty: