Schedule Appointment with M.I.A. by Massiel

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First Name *

Last Name *

Phone *

Your E-Mail Address *

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

Item	Quantity	Total
Three Lash Subscription	x $187.00	$187.00 per month for 3 months ($561.00 total)
Total: $187.00

I agree to consult with Massiel upon signing up for the Lash subscription to arrange proper scheduling of the first 2 consecutive appointments. I understand this subscription is ONLY available after my initial lash appointment of a new set of lashes with Massiel or a refill with Massiel.
This is a monthly subscription, it is nonrefundable and nontransferable. No refund will be given for missed or canceled appointments.
Subscription is not available for foreign fills.
I understand that if I need to cancel or change my appointment it must be done 48 hours (2 days) prior to my appointment date to avoid scheduling conflicts and additional refill fees.
Appointments must be within business hours of operation.

Thank you so much for supporting my business!