*Name
姓 名
*Phone Number
--
*Email Address
(確認用)
What is your skin complexion?
What is your hair color?
※IPL laser is not effective if there is no differencebetween the color of hair, and the color of the skin.
*Gender
Man Woman
Language
English Only Japanese Japanese a little
Preferred Reservation Date
No.1 choice
-- 1 2 3 4 5 6 7 8 9 10 11 12 月 -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 日
Time
------ 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 22:30 23:00
No.2 choice
Areas of interest
■Which hair removal would you like to do?■
IPL hair removal only Electric hair removal only I would like to consult
Face
Upper lip Chin Cheeks Neck (front) Sideburns Nape of Neck
Underarms ＆ Arm
Underarms Forearms (Including the back of the hand and fingers.) Upper Arms Full Arms (Including the back of the hand and fingers) Back of the hands and fingers.
Body
High back Buttocks Chest Abdomen Low back Areola (nipple area) Below the navel
Lower Body
Bikini line・Penis surroundings・Testicle Bikini line・Penis surroundings・Testicle・Between thighs・Perianal area Bikini line Bikini line・Between thighs Bikini line・Between thighs・Perianal area Between thighs・Perianal area Penis surroundings・Testicle Testicle Penis surroundings Between thighs Perianal area
Legs
Thighs Lower legs (Including the instep and toes) Both legs (Including the instep and toes) Instep and toes
Special Combos
Face（Upper lip・Chin・Cheeks・Neck (front)・sideburns） Whole Body（Excluding Face, Penis surroundings and Testicle） The upper body parts(Including the full arms,armpit,high back,low back,chest,abdomen,nape of neck) The lower body parts(Including the bikini line,between thighs,perianal area,buttocks,both feet)
Electrolysis hair removal
Body 10min Face 10min Private parts 10min
Please write your time required.
Inquiry