Models for Sem-Permanent Lip Blushing & Eyeliner (Upper Lid) Only

First Name

Last Name

Phone

When is the best time to call you to briefly discuss details?

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Are You Over 18 years old?

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Which service are you interested in receiving?

[Check only one (1)]

Are you available to be model for one of the following date/times?

(Check All That May Apply)

How long ago did you receive your last semi-permanent/permanent make-up or tattoo service?

[Check only one (1)]

Are you able to travel to the following PMU School Locations?

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Thank you for taking the time to fill out our form

Thank you, we have received your Pre-Consultation Form. If we have any further questions, we will contact you at the time you specified.

We look forward to meeting or getting re-acquainted with your hair.

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