Appointment Request

Contact Information

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

Please email me specials and events

Appointment Information

* Date requested

Preferred Times (Enter as many choices as you wish)

If you prefer, please let us know a time period you are available, ex. "9am-11am" or "anytime after 5 pm", and we will find an appointment for you

* Which location would you prefer?

DTC (Orchard & Holly)

SW (Wadsworth & Bowles)

Choose which Services you would like to schedule (choose as many as you wish)

Massage/Body Treatment Services (services with an * may only be scheduled with a massage or body treatment)

Skin Care/Waxing (services with an * may only be scheduled with a facial)

Fingers and Toes

Other Services

Bridal Makeup

Lunch

Makeup Application

Makeup Lesson

If you would like to request a specific technician, please type their first name below

or Choose a Gift Package you would like to schedule

Gift Packages

* Is this your first visit to Beau Visage?

Yes

No

If you have a Gift Certificate, please type the number below so we can verify funds before your service.

If you have a Groupon, Please type in your groupon #, plus the numbers under the barcode

If you have any additional comments, something special you would like us to do, or if there are more people in your party, you can leave us information and we can take care of the appointment

* Indicates Response Required

30 minute Massage	60 minute Massage	90 minute Massage	Prenatal Massage (60 minutes)
Couples Massage (60 minutes x2 people)	30 minute Reflexology	60 minute Hot Stone massage	90minute Hot Stone massage
Aromatherapy $5*	Foot Treatment $10*	Scalp Treatment $10*	Tropical Body Wrap
Seaweed Gel Detoxifying Wrap	Royal Honey Hydrating Body Wrap	Sea salt Body Glo	Loofah Body Scrub
Bronze & Glo	Rain Drop Therapy	Minerals & Gems

Mini Facial	European Facial	Acne Facial	RS2 (Rosacea) Facial
Anti-Aging Facial	Hot Stone Facial	Eye Treatment *	Chemical Peel
Microdermabrasion (Crystals)	Microdermabrasion (Diamond tip)	Echo2 Treatment	Non-Surgical Face Lift
Youthlight treatment	Brow Tint	Lash Tint	Lip wax
Brow Wax	Chin wax	Face Wax	Bikini-regular
Bikini -French	Bikini- Brazilian	Vajazzle	Half-arm wax
Full arm wax	Half leg wax	Full leg wax	Underarm
Back	Chest

French Polish	Shape-n-polish	Clip-n-polish	Signature Manicure
Signature Pedicure	Paraffin Manicure	Paraffin Pedicure	Spa Manicure
Spa Pedicure	Design Manicure	Minx Pedicure	Shellac/Gelish Removal
Shellac/Gelish Manicure	Axxium Removal	Axxium Manicure	Acrylic Pink/white fullset
Acrylic Pink/white rebase	Acrylic Set of nails	Acrylic Rebase	Buff-n-polish
Gel set of nails	Gel Rebase

Ultimate Full Day of Beauty	Relax at the Spa	Gentlemen's Retreat
Ladies Retreat	Health and Beauty	Spa Getaway with Massage
Spa Getaway with Facial	Escape with Massage	Escape with Facial
Tips-n-Toes