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Let's Celebrate!! You are Hair Free!!
Clinic
*
Amarillo
Corpus Christi
El Paso
Lubbock
Midland
Staff Name
*
First Name
*
Last Name
*
Phone
*
Gender
*
Male
Female
Hair Free Area(s)
*
🛈
+
-
What do you love most about being
Hair Free
*
I Feel Beautiful
More Confidence
Results - it works!
No more shaving/waxing
Little or no pain
Convenience
Affordability
Other
Tell us about your Hair Free Journey
*
Wish List
what other areas are next on your wish list?
*
Full Beard
Full Face
Bikini Brazilian extended
Bikini line extended
Full Back
Legs
Coolsculpting
Other
Other
Refer A Friend
Friend's Name
*
Friend's Phone
*
Marketing Consent
:
I give American Laser Med Spa permission to use the information provided on this form and the
Hair Free sign Photographs taken today for marketing purposes
*
Yes
No
Notes (if any)