We require a few things in order to confirm your appointment date and time. Please be aware this contract requires a valid credit care to reserve your appointment. A $100 deposit will be held to "Save the Date". No charges will be made to your card until the services are performed. Howerver, in the event that you must cancel your reservation less than 2 weeks ( 14 days ) prior to your appointmnent you will forfeit your deposit and be charged $100. If your reservation is cancelled 5 days or less, your credit card will be charged for 50% of the cost of all requested services.

*If filling this form out online - please call primp with your payment information within 24 hours of submitting your form.