You Deserve This Project Nomination Form
At Pristine Lash & Beauty Lounge, I believe self-care is more than lashes or brows.Sometimes it's having someone pour into you when life feels heavy.Each month, I'll be gifting a complimentary beauty service to a woman who could use a little extra love, confidence, and care.You may nominate yourself or someone you love.All submissions are kept private.
Your Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Are you nominating yourself or someone else?
*
Myself
Someone Else
Nominee’s Name (if nominating someone else)
First Name
Last Name
Nominee's Phone Number (if nominating someone else)
Please enter a valid phone number.
Format: (000) 000-0000.
Tell me a little about yourself (or the person you're nominating)
*
Why would this service be meaningful right now?
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What is something you're proud of yourself (or them) for lately?
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Anything else you'd like me to know?
Service Preference
*
Lash Fill
Classic Full Set
Hybrid Full Set
Volume Full Set
Lash Lift & Tint
Brow Wax
Brow Tint
Brow Wax + Tint
Brow Lamination
Surprise Me
May I share part of your story anonymously if selected?
*
Yes
No
Submit Nomination
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