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Date: Wed, 29 May 2024 11:12:15 +0000
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Reply-To: darrilyn.bihm@gmail.com
Subject: Elements Laser Spa - Austin, Texas [#6671]
From: "Elements Laser Spa" <no-reply@wufoo.com>
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<table class="readonly" cellspacing="0" cellpadding="0" style="width:100%;border-bottom:1px solid #eee;font-size:12px;line-height:135%;font-family:'Lucida Grande','Lucida Sans Unicode', Tahoma, sans-serif">
	<tr class="radio" style="background-color:#F5F5F5">
		<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
			Schedule Appointment or Make Inquiry?
			<span class="req" style="color:red">*</span>		</th>
		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
			<div>Schedule Appointment (new client)</div>
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	<tr class="radio" style="background-color:#FFFFFF">
		<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
			Select a Location
			<span class="req" style="color:red">*</span>		</th>
		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
			<div>DOWNTOWN</div>
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			Name 
			<span class="req" style="color:red">*</span>		</th>
		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
		<span class="fn n">
			<span class="given-name" style="padding:0 5px 0 0">Darrilyn</span>
			<span class="family-name">Bihm</span>
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	<tr style="background-color:#FFFFFF">
		<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
			Email 
			<span class="req" style="color:red;">*</span>		</th>
		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
		<a class="email" href="mailto:darrilyn.bihm@gmail.com">darrilyn.bihm@gmail.com</a>
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			Phone Number 
			<span class="req" style="color:red">*</span>		</th>
		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
		<span class="tel">(504) 912-3430</span>
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	<tr class="location" style="background-color:#FFFFFF">
		<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
			Address 
			<span class="req" style="color:red;">*</span>		</th>

		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
								<a target="_blank" title="Show a Map of this Location" style="text-decoration:none;"
			href="http://maps.google.com/?q=22806 Iris webb++San Antonio+Texas+78258+United States">
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				<span class="street-address">22806 Iris webb</span>
				<span class="extended-address"></span>
				<br />				<span class="locality">San Antonio</span>, 				<span class="region">Texas</span>
				<span class="postal-code">78258</span>
				<br />				<span class="country-name">United States</span>
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	<tr style="background-color:#F5F5F5">
		<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
			Birth Date 
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		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
		<abbr class="dtstamp" title="19870214" style="font-style:normal;border:none;">Saturday, February 14, 1987</abbr>
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		<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
			Preferred Date 
			<span class="req" style="color:red;">*</span>		</th>
		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
		<abbr class="dtstamp" title="20240531" style="font-style:normal;border:none;">Friday, May 31, 2024</abbr>
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			Preferred Time 
			<span class="req" style="color:red">*</span>		</th>
		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
			<div>Morning</div>
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	<tr style="background-color:#FFFFFF">
		<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
			Skin Tone 
			<span class="req" style="color:red">*</span>		</th>
		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
			<div>Dark Brown</div>
		</td>
	</tr>
	<tr style="background-color:#F5F5F5">
		<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
			Hair Color 
			<span class="req" style="color:red">*</span>		</th>
		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
			<div>Dark</div>
		</td>
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	<tr style="background-color:#FFFFFF">
		<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
			Service Required (Downtown) 
			<span class="req" style="color:red">*</span>		</th>
		<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
			<div>Laser Hair Removal</div>
		</td>
	</tr>
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		<th style="border-top: 1px solid rgb(238, 238, 238); padding: 7px 9px; vertical-align: top; color: rgb(34, 34, 34); text-align: left;">
			Select Areas to be Treated (Downtown)
			<span class="req" style="color:red;">*</span>		</th>
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		<ul style="list-style:inside;margin:0;padding:0;">
																																																	<li style="margin:0;padding:0 0 4px 0;">Brazilian</li>
																											<li style="margin:0;padding:0 0 4px 0;">Chin</li>
																																																																													</ul>
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			Referral Source 
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		<td id="roField131" style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
			<div>Dermatologist </div>
		</td>
	</tr>

</table>

 



 


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