Lotus Aesthetics & Wellness Grand Opening Registration

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* 1. What is your full name?

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* 2. What is your email address?

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* 3. What is your phone number?

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* 4. How did you hear about Lotus Aesthetics & Wellness?

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* 5. Will you be attending the grand opening on April 7, 2024 @ 1pm CST? (RSVP)

Yes

No

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* 6. Which services are you interested in getting more info? (Select all that apply)

Full Body Weight Loss Injections

Targeted Body Fat Injections

Liquid BBL (Brazilian Butt Lift)