Appointment Request – Beauty On Bank

Complete and submit the form below. We will contact you to confirm your appointment details as soon as possible. Please allow 1 business day for replies. Note: We are closed Sundays and Mondays.

About You
First Name (required)	Last Name (required)
Your Phone (required)	Your Email (required)
Confirm with me by PhoneEmailEither

Please double check your phone number!!

Please double check your email address!!

Please double check your phone number and email address!!

When do you need your fix? Open Tuesday through Saturday. Closed Sunday and Monday.
Date	Start Time
2nd Choice
Date 2	Time 2
3rd Choice
Date 3	Time 3
Do you have a preferred stylist?
Stylist
Please note: prices vary due to stylist's level. What service do you need?
Service Requested
Please list additional services required

Cancellation Policy

Please provide 24 hours notice for cancellation. Failure to attend an appointment denies another client care.

I agree to provide 24 hours notice if cancelling

Please review your entries before clicking the submit button.