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Serving San Jose, Santa Cruz & Monterey Bay Area.
For an appointment, call 831-426-4321

CLIENT FORM

It is preferred that all prospective clients fill out this form. However, if you have had any prior permanent cosmetics in the area of concern, filling out this form is required.

In either case, the form is extremely helpful when determining the best approach for a successful procedure.

Please have an image ready to upload as it is required. If this is a problem, please call Erika at 426-4321.

Erika will be contacting you within 72hrs.

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Please enter a number greater than or equal to 18.
I am interested in the following procedure:
Accepted file types: jpg, gif, png, pdf, Max. file size: 400 MB.
If there are any problems uploading, send image by email, purebeautyesthetics@gmail.com.
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