Permenant

Cosmetics

Pricing and booking form can be found below!

One free touch up will be offered within a year of the procedure. For yearly touch-ups on my own work; the cost will be $150.

Name

First Name

Last Name

Phone Number

(###)

###

####

Are you 18 or Older?

Desired Permenant Cosmetic

Have you received a permanent cosmetic procedure from Emily before?

If Yes: list below which procedure

(Brows, Eyeliner, Full Lips, Lip Liner)

Is this a touch-up?

Additional Notes or Questions