CONTACT Name * First Name Last Name Email * Phone Country (###) ### #### What service are you interested in? Free Consultation (Necessary for All First Time Customers) Eyebrow Permanent Makeup Eyebrow Lamination & Tint Lip Permanent Makeup Lip Plumper Eye Permanent Makeup Lash Lift & Tint Permanent Makeup Removal Tattoo Removal Other Permanent Makeup MYGLOW Facial Skin Booster (eg. Profhilo) Undereye Skin Booster (eg. Lumi Eyes) Anti-wrinkle Injections More than one service Not sure yet Where would you like to meet? (in-person consultation is preferred) Private Clinic Hanwell Zoom Consultation How did you hear about Glow Sanctum? * Word of Mouth Medical Professional Hair or Beauty Professional Leaflet or Brochure Facebook Instagram Press Google Search Other How may I help you? * I want to receive emails with offers and updates from Glow Sanctum. Sign up for marketing emails - Ticking this box gives Glow Sanctum permission to send you occasional emails to let you know about special offers or new services. We will not share your details with any third parties. You may unsubscribe at any time by following the instructions in the emails. Remember Me Remember your details - Ticking this box will store your details on this computer and automatically complete them for future bookings. If you are using a shared or public computer you should not tick this box. Cancellation Policy * Please contact hello@glowsanctum.co.uk should you wish to reschedule your appointment. Full Cancellation Policy can be found on www.glowsanctum.co.uk Any cancellation made within 48 hours will incur a £10 charge in the form of the deposit paid when booking. I agree Thank you!
