Name *

First Name

Last Name

Phone

(###)

###

####

which type of nails are you looking to get *

please check all boxes that apply

russian manicure, builder gel

acrylics

gel-x

short

medium

long

when would you like to be serviced? *

please choose a date in November you would prefer to have your appt chosen

MM

DD

YYYY

have you been serviced by me before? *

yes

no

how often do you get your nails done *

every 2-3 weeks

every 3-4 weeks

every 4-5 weeks

occasionally