top of page
Birthday
Month
Day
Year
How Did You Hear About Us?

Name of the person refers you

Check Mark Any That Apply Below:

By signing below, I verify that I have read and understand the above statements and agree to them.


By signing below, I give permission to take before and after photos of my eyes/face which may be used for marketing purposes on a website, salon, or training class

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
pink2.png
MAILASH & BROWS

Call / Text : (480) 707 - 3399

4234 N. Craftsman Court

Scottsdale, AZ 85251

Mon - Fri: 8AM - 7PM

Sat - Sun: 8AM - 4PM

bottom of page