Lilly & Co Appointment Request
Your permanent piece is waiting. ✦Complete the form below to reserve your Lilly & Co. experience. A $20 deposit secures your date and is applied toward your total. Expect a confirmation email within 48 hours; and a quick peek at your spam folder never hurts. We can't wait to adorn you. 🤍
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Date
Please Select
May 30(10a-1pm only)
June 6 (10a-1pm only)
Preferred Time Slot
Please Select
10:00am -10:30am
10:30am - 11:00am
11:00am - 11:30am
11:30am - 12:00pm
12:30pm - 1:00pm
5:00pm - 5:30pm (May 5 only)
5:30pm - 6pm (May 5 only)
6:30pm- 7pm (May 5 only)
Additional Comments
Submit
Should be Empty: