Name *
Name
Date *
Date
Time *
Time
Please tell me where you found me :)
Please provide email and phone # of atleast two providers who you have seen recently If you have them.

* I require a picture of your work badge or drivers licence, business card or LinkedIn *

*I also accept RS-AVS.ch for verificafication

Send info to Jenniferbbw@protonmail.com

Please become familiar with my cancellation policy

If you cancel our appointment within 24 hours of our scheduled date you will incur a 25% cancellation fee. If you cancel our appointment within 12 hours of our scheduled date you will incur a 50% cancellation fee.