Name: *

First Name

Last Name

Phone: *

(###)

###

####

Wedding date (date of services): *

MM

DD

YYYY

Location of where services are to be rendered:

(Travel fees vary for locations 40 miles/45minutes or more outside of the Philadelphia area)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred time of completion: *

Hour

Minute

Second

AM PM

BRIDAL OPTIONS *

This section is for BRIDE only. Please select ONE hair service, and/or ONE makeup service, or ONE combination service below:

Updo: Secured- up, low, side, or half styles

Glam Wave: Full-bodied, structured waves

Thermal Style: Unsecured- curled or straightened styles

Makeup: Airbrush (optional) + lashes

Hair + Makeup Package: Any hair selection + makeup

No bridal service- I just want to reserve services for bridesmaids + additional guests

STANDARD OPTIONS (for bridesmaids + additional guests)

Please select desired service(s) below for all guests excluding bride, and provide the corresponding head count for each service selected.

Standard Hair+Makeup Package

Updo

Thermal Style

Makeup