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Beauty Forever Miami Spa
FORMULARIO DEL CLIENTE /
CUSTOMER
FORM
Solo visible para usted y su especialista / Only visible to you and your specialist
First Name
Last Name
Email
Phone
POSIBLES CONDICIONES MEDICAS / POSSIBLE MEDICAL CONDITIONS
Alergias? / Allergies? Y/N
Cirugía Cosmética? / Cosmetic Surgery? Y/N
Bajo Medicación? / Under Medication? Y/N
Padecimiento Crónico? / Cronic Illness?
Algún tratamiento estético en los últimos 15 días? // Any aesthetic treament in the last 15 days? Y/N
Tipo de Diseño de Cejas / Type of Eyebrows Extensions
Acepto los términos y condiciones / I accept the terms and conditions.
Ver Términos de Uso / See Terms of Use
Your Signature
Clear
Enviar / Submit
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