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STEP
ONE
COMPLETE APPLICATION
Have You Been To Havana Skin Clinic Before
Yes
No
Have You Had Laser Hair Removal Before
Yes
No
What Areas Are You Looking To Treat
Bikini
Legs
Underarms
Facial Area
Other
How Soon Could You Come In For A Consultation
As Soon As Possible
Within The Next Week
Within The Next 2 Week
Not Sure Of My Availability
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Unit 1, Mayor Street Lower, Dublin 1
13 Main Street, Dundrum, Dublin 14
www.havanaskinclinic.com
01 424 2010
book@havanaskinclinic.com
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