Model Request Form
First Name
Last Name
City
Email Address
Phone Number
Best Time To Call
Select One
9am - 12pm
12pm - 2pm
2pm - 5pm
5pm - 7pm
7pm - 9pm
Location
Scottsdale, AZ
Las Vegas, NV
In the "procedures" box please check which procedure you would like done.
If you would like multiple services done, that’s great simply check multiple boxes.
Procedures
Laser Hair Removal
(Retail Price $150)
Our Price $50
Photo Facial
(Retail Price $400)
Our Price $75
Tattoo Removal
(Retail Price $250)
Our Price $50
Laser Wrinkle Reduction
(Retail Price $1,000)
Our Price $150
Skin Tightening
(Retail Price $300)
Our Price $75
Spider Vein Reduction
(Retail Price $250)
Our Price $75
Acne Reduction
(Retail Price $150)
Our Price $75
Laser Cellulite Reduction
Our Price $125
Botox
(Retail Price $12/unit)
Our Price $7/unit
Dermal Fillers
(Retail Price $500/syringe)
Our Price $250/syringe
Scar Reduction
(Retail Price $1000)
Our Price $150
Stretch Mark Reduction
(Retail Price $1000)
Our Price $150
Chemical Peel
(Retail Price $150)
Our Price $75
Sclerotherapy Vein Reduction
(Retail Price $350)
Our Price $75
Questions