LAVA LAMP FLASH - BOOKING FORM
CONTACT INFORMATION
This contact information will only be used to reach you in case of a scheduling emergency or important update to our appointment.
Name (Gov)
*
First Name
Last Name
Nickname or Preferred Name
First Name
Last Name
Preferred Pronouns
She / Her
They / Them
He / Him
Fluid
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
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PICK YOUR DESIGN
*
BLUE POO CHI $300
PINK POO CHI $300
MAGNETIX PYRAMID $150
SPIKEY LIGHTBULB $275
BUZZING MAGNETS $250
Pick a color scheme for your design (Either choice doesn’t affect the price)
*
Full color
Black and grey
Pick your placement, *Arms and legs only*
*
Right upper arm
Right lower arm
Left upper arm
Left lower arm
Right thigh
Right lower leg
Left thigh
Left lower leg
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PICKING A DATE AND TIME FOR YOUR APPOINTMENT ($20 Booking Fee Required)
Please list two to three dates you’d be available. The earliest I start appointments is 12:00pm.
Type a question
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THANK YOU FOR FILLING OUT MY BOOKING FORM!
I will reach out within 1-3 business days via email with an information sheet going over how to pay your booking fee and further guidelines.
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