Name *

First Name

Last Name

Phone

(###)

###

####

Date of Desired Bridal Appointment *

MM

DD

YYYY

Address of Bridal Appointment *

*Travel fee from East Brunswick, NJ for one trip to the bridal appointment address is $30/hour. If the address is within 10 miles, the travel fee is waived. Please include the address of the appointment if you would like a price quote including the travel fee.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Would you also like henna services for a Mehndi Night? *

Mehndi night services are $85/hour and each additional henna artist is $70/hour.

Yes, I would like henna for guests after my appointment

Yes, I would like additional henna artists

Yes, but I would like it on a separate day

No