Spa Tini - Prom Service Agreement
To schedule a Spa Tini professional for an upcoming PROM, please complete this service agreement and e-mail to service@spa-tini.com or fax to (310) 671-5467. Or, if you prefer, call (310) 806-3281 to speak to a Spa Tini representative who can answer any questions and presonally schedule your request today.
Services Requested (check one please)
Group of 3-4
Makeup Only ($75 ea.)
Makeup and Hairstylist ($150 ea.)
How many in Group?
3
4
Group of 5-7
Makeup Only ($65 ea.)
Makeup and Hairstylist ($130 ea.)
How many in Group?
5
6
7
Group of more than 7
Makeup Only ($60 ea.)
Makeup & Hair Stylist ($120 ea.)
Indicate # in group
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Ethnicity
*
White
Black
Hispanic
Asian
Filipino
Pacific Islander
American Indian
Other
Extra services requested
Individual Lashes-$40
Mini Facial-$35
Manicure-$35
Pedicure-$45
Manicure & Pedicure-$70
Senior Prom Dude Special
How many in group?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Services Requested
30 Minute Shave-$25
Beard Trim w/ Wet Shave-$35
Dry Beard Trim (clippers only)-$20
Uni-Brow Surgery-$20
Spa Tini Man Mini Facial-$35
Spa Tini Man Manicure-$20
Requestor\'s Personal Information
First Name
*
Last Name
*
Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip Code
*
Home Phone #
*
Cell Phone #
*
Email Address
*
Is address the same as service location?
*
Yes
No
If no, please enter the address of the service location:
Desired Date
-
Month
-
Day
Year
at
/
Hour
Minutes
AM
PM
Desired Time
*
Choose AM or PM
*
AM
PM
Special Request:
Deposit Payment Information
Once your service agreement has been received an your request has been approved by a Spa Tini representative, a $50 deposit will be required to secure your Prom Service date. The remaining balance will be due on or before your service date. Please provide the following deposit information:
Type of Credit Card:
Visa
Mastercard
American Express
Name on card:
Card #
Expiration date:
3-digit code (on back):
Option 2: Please send a deposit invoice via paypal
Yes
Submit Form
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