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Winks Lash & Beauty Bar

First Name *

Last Name *

Phone *

Your E-Mail Address *

Notes to Business (your address or any special notes about your order)

Item	Quantity	Total
Queen Winks Discount Card	x $100.00	$200.00 $100.00 initial setup plus $100.00 per year
Total: $200.00	Coupon:

I agree that if I do not call, reschedule or email my cancellation within 48 hours of scheduled appointment, I will lose my required deposit.

I agree that if I am a No Call No Show or cancel my scheduled appointment same-day, the credit card on file will be charged for the full price of the service provided during my schedule

I agree that once I have scheduled my pre-paid appointment that my voucher will redeemed immediately.

I do understand that ALL pre-paid vouchers is only good one per customer. (vouchers that are purchased through third party vendors)