Name (required) Stylist you are seeing today? Phone number Address City State Zip Email (required) How you were referred to our salon? If it was a friend please tell us their name. We would like to thank them. We’ve partnered with a dermatologist to host Botox Events 3 times per month. Would you be interested in learning more? May we request you on FaceBook? How does your name appear? Gratuity cannot be added to credit or debit cards.