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Laser Hair Removal Areas Body del Sol Medical Spa 4yr Anniversary Event Order Form One Night Only Special Pricing Name: _____________________________________________ DOB: ______/______/______ Address: ___________________________ City: _____________ State: _____Zip: _________ Phone: ______________________ Email: _________________________________________ How did you hear about tonight’s event? _______________ __________________________ Have you been to one of our events before? Yes No Do you have a Brilliant Distinctions Acct? Yes No Spa Service Reg Price Sol Treatment Package of 3 Package of 6 Total Per Treatment 24% Off 34% OFF 44% 60 min Massage 75.00 57.00 148.50 252.00 90 min Massage 95.00 72.20 188.10 319.20 60 min Hot Rock 90.00 68.40 178.20 302.40 Massage Del Sol Facial 75.00 57.00 148.50 252.00 Enzyme Peel 90.00 68.40 188.10 319.10 Image O2 Lift 100.00 76.00 198.00 504.00 Chemical Peels Reg Price Sol Treatment Package of 3 Package of 6 Total Per Treatment 24% Off 34% OFF 44% Image Lightening Lift 150.00 114.00 297.00 504.00 Peel Image Acne Lift Peel 150.00 114.00 297.00 504.00 Grade 1 & 2 Image Advanced 175.00 133.00 347.00 378.00 Acne Grade 3 & 4 Acne Image 4 Layer Vit C 150.00 114.00 297.00 504.00 Peel Image Wrinkle Lift 150.00 114.00 297.00 504.00 Peel Image Perfection Peel 200.00 152.00 396.00 672.00 Obagi Radiance Peel 150.00 114.00 297.00 504.00 Advance Exfoliation Reg Price Sol Treatment Package of 3 Package of 6 Total & Micro Needling Per Treatment 24% OFF 34% OFF 44% OFF HydraFacial 150.00 114.00 297.00 504.00 Silk Peel 150.00 114.00 297.00 504.00 Microdermabrasion DermaPen 300.00 228.00 594.00 1008.00 Laser Hair Removal Reg Price Package of 3 Package of 6 Package of 9 Qty Total Per Session Over 65% OFF Over 70% OFF Over 75% OFF Small Area 175.00 175.00 275.00 375.00 Medium Area 275.00 275.00 375.00 475.00 Large Area 375.00 375.00 475.00 575.00 X-Large Area 475.00 475.00 575.00 675.00 Laser Hair Removal Areas: Small Navel/Trail Upper lip Medium Back - upr Hands Large Chest X-Large Areolas Nose Abdomen Bikini Line Neck -frnt Arms-Full Legs-lwr Back – Full incl Shoulders Chin SideBurns Arms - lwr Cheeks Neck- Bck Beard Legs-Upr Chest –Full incl Abs Ears Toes Arms - upr Feet Shoulders Brazillian Neck-full Legs -Full Fingers Underarms Back -lwr Full Face Buttocks Back Laser IPL Reg Price Package of 3 Package of 5 Qty Total PhotoFacial Per Session OFF % OFF Face 400.00 900.00 1500.00 Laser Vein Reg Price Package of 3 Package of 5 Qty Total Removal Per Session OFF % OFF 15 min or less 199.00 399.00 599.00 30 min or less 350.00 699.00 999.00 Xeomin & Botox ONLY $9.50 per unit!!! 24% OFF Cosmetic Injectables Reg Price Reg Price Anniversary Savings Total Per Unit Extended Event Price Price Xeomin Buy 30 units 12.50 375.00 285.00 90.00 (equals 7 FREE units) Buy 40 units 12.50 500.00 380.00 120.00 (equals 10 FREE units) Buy 50 units 12.50 625.00 475.00 150.00 (equals 12 FREE units) Botox Buy 30 units 12.50 375.00 285.00 90.00 (equals 7 FREE units) Buy 40 units 12.50 500.00 380.00 120.00 (equals 10 FREE units) Buy 50 units 12.50 625.00 475.00 150.00 (equals 12 FREE units) Belotero 24% OFF Number of Syringes Reg Price Anniversary Event Savings Total Price 1 550.00 418.00 132.00 2 1100.00 836.00 264.00 3 1650.00 1254.00 396.00 4 2200.00 1672.00 528.00 Radiesse 1.5 24% OFF Number of Syringes Reg Price Per Anniversary Event Savings Total Syringe Price 1 650.00 494.00 156.00 2 1300.00 988.00 312.00 3 1950.00 1482.00 468.00 4 2600.00 1976.00 624.00 Juvederm 24% OFF Number of Syringes Reg Price Per Anniversary Event Savings Total Syringe Price 1 550.00 418.00 132.00 2 1100.00 836.00 264.00 3 1650.00 1254.00 396.00 4 2200.00 1672.00 528.00 Body Contouring Up to 34% OFF Treatment Reg Price Sol Package Package Total Per Treatme Savings of 3 Savings of 6 Savings Treatment nt 24% 34% 14% Off LA SlimWrap 150.00 129.00 21.00 342.00 108.00 594.00 306.00 Treatment Reg Price Sol Package Package Total Per Treatme Savings of 3 Savings of 6 Savings Treatment nt 14% 24% 4% Off Cool Sculpt Small 750.00 720.00 30.00 1935.00 315.00 3420.00 1080.00 Area CoolSculpt Large Area 1500.00 1440.00 60.00 3870.00 630.00 6840.00 2160.00 Skin Care Products - Revision Product Reg 24% Off Qty Product Reg 24% Off Qty Total Price Price Price Price Intellishade Original 53.00 40.28 Nectifirm 72.00 54.72 Intellishade Matte 53.00 40.28 Teamine Eye 72.00 54.72 Cream Product Reg 24% Off Qty Product Reg 24% Off Qty Total Price Price Price Price Vitamin K Serum 44.00 33.44 Brightening 28.00 21.28 Wash Vitamin C 30% Serum 99.00 75.24 Teamine 60.00 45.60 Concealer Lt Teamine Concealer Md 60.00 45.60 Teamine 60.00 45.60 Concealer Drk Anti-Redness Kit 169.00 128.44 Skin Care Products - Image Product Reg 24% Off Qty Product Reg 24% Qty Total Price Price Price Off Price Ageless Total Facial 32.00 24.32 Vital C 32.00 24.32 Cleanser Hydrating Cleanser Ageless Total 32.00 24.32 Vital C 32.00 24.32 Resurfacing Masque Enzyme Masque Ageless Total Skin 42.00 31.92 Vital C 55.00 41.80 Lightening Serum Hydrating Anti Aging Serum Ageless Total skin 44.00 33.44 Vital C 55.00 41.80 Bleaching Serum Hydrating Intense Moisturizer Ageless Total Eye Lift 38.00 28.88 Vital C 59.00 44.84 Cream Hydrating Repair Creme Ageless Total Anti Aging 55.00 41.80 Vital C Eye 38.00 28.88 Serum Recovery Ageless Total Repair 57.00 43.32 Vital C 38.00 28.88 Creme Hydrating AC E Serum Max Cleanser 32.00 24.32 Clear Cell Sal 28.00 21.28 Gel Cleanser Max Serum 96.00 72.96 Clear Cell Med 27.00 20.52 Acne Scrub Max Crème 98.00 74.48 Clear Cell 30.00 22.80 Acne Lotion Max Eye Cream 52.00 39.52 Clear Cell 29.00 22.04 Acne Masque Cell u Lift Firming Body 71.00 53.96 Clear Cell 24.00 18.24 Lotion Clarifying Tonic Face & Body Bronzer 29.00 22.04 Clear Cell Sal 29.00 22.04 Pads Daily Matte 36.00 27.36 Ormedic 18.00 13.68 Moisturizer 32spf Balancing Lip Complex Daily tinted Moisturizer 36.00 27.36 Ormedic 32.00 24.32 30spf Facial Cleanser Ormedic Antioxidant 44.00 33.44 Ormedic Eye 38.00 28.88 Serum Lift Creme Ormedic BioPeptide 62.00 47.12 Ormedic Gel 34.00 25.84 Creme Masque MDRX Lightening 69.00 52.44 MDRX 175.00 133.00 Creme Complete System Skin Care Products - Obagi Product Reg 24% Off Qty Product Reg 24% Off Qty Total Price Price Price Price Gentle Cleanser 42.00 31.92 Renova .02% 90.00 68.40 Foaming Gel Cleanser 42.00 31.92 Tretinoin.05% 82.00 62.32 Toner 42.00 31.92 Tretinoin.1% 94.00 71.44 Clear 105.00 79.80 Refissa .05% 90.00 68.40 Exoderm 72.00 54.72 Pro C Serum 5% 55.00 41.80 Exoderm Forte 72.00 54.72 Pro C Serum 10% 75.00 57.00 Blender 100.00 76.00 Pro C Serum 15% 92.00 69.92 Sunfader 85.00 64.60 Pro C Serum 20% 112.00 85.12 Sun Shield 50 50.00 38.00 C-Clarifying N-O 120.00 91.20 ElastiLash 69.00 52.44 C-Clarifying N-D 120.00 91.20 Elastiderm Eye Gel 110.00 83.60 C-RX System N-O 338.00 256.88 Elastiderm Eye Cream 110.00 83.60 C-RX System N-D 365.00 277.40 Hydrate 48.00 36.48 360 System 145.00 110.20 HydrateLuxe 70.00 53.20 Gentle Rejuv Sys 288.00 218.88 Regenica Complex 150.00 114.00 ClenziDerm Sys N-O 145.00 110.20 RosaClear System 165.00 125.40 ClenziDerm Sys N-D 145.00 110.20 Transformation Sys O 445.00 338.20 C&E Surgical Sys 455.00 345.80 Transformation Sys D 445.00 338.20 C& E NonSurgical Sys 465.00 353.40 Skin Care Products- Eminence Organic Product Reg 24% Off Qty Product Reg 24% Off Qty Total Price Price Price Price Bright Skin Cleanser 38.00 28.88 Neroli Eye Serum 58.00 44.08 Bright Skin Moisturizer 58.00 44.08 Lavender Age Correct 70.00 53.20 Eye Serum Bright Skin Masque 54.00 41.04 Naseberry Eye Exfoliant 64.00 48.64 Bright Skin Booster 56.00 42.56 Cucumber Eye Gel 46.00 34.96 Bright Skin Travel Kit 58.00 44.08 Raspberry Eye Masque 64.00 48.64 Calm Skin Cleanser 38.00 28.88 Wild Plum Eye Cream 70.00 Calm Skin Moisturizer 58.00 44.08 Bamboo Firming Fluid 58.00 44.08 Calm Skin Masque 54.00 41.04 Coconut Age Correct 58.00 44.08 Moisturizer Calm Skin Booster 56.00 42.56 Lavender Age Correct 70.00 53.20 Night Serum Calm Skin Travel Kit 58.00 44.08 Coconut Firming Body 36.00 27.36 Lotion Clear Skin Cleanser 38.00 28.88 Naseberry Body Lotion 32.00 24.32 Clear Skin Moisturizer 58.00 44.08 Pear & Poppy 46.00 34.96 MicroPolisher Clear Skin Masque 54.00 41.04 Monoi Body Cream 38.00 28.88 Clear Skin Booster 56.00 42.56 Monoi Face n Neck Crm 64.00 48.64 Clear Skin Travel Kit 58.00 44.08 Lime Refresh toner 38.00 28.88 Firm Skin Cleanser 38.00 28.88 Neroli Retinol Toner 38.00 28.88 Firm Skin Moisturizer 58.00 44.08 Wild Plum Toner 38.00 28.88 Firm Skin Masque 54.00 41.04 Firm Skin Booster 56.00 42.56 Firm Skin Travel Kit 58.00 44.08 ALL PURCHASES ARE FINAL.
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