Your choices
Dear My Beauty Basics Customer,

We'd like to keep your contact details in our records so that we can send appointment notifications, news about our business and exclusive special offers by emails and or SMS messages, but we need to hear from you. So you can hear from us.

Please indicate your choices, how would like to receive these notifications?

How would you like to receive offers, updates and other messages from us? *
Please select one or more options below or select I do not wish to receive any email or SMS messages from My Beauty Basics.
Required
First Name *
Your answer
Last Name *
Your answer
Email address *
Please provide an email address so that we can send a copy of the completed form to you. If you choose not to receive offers and updates by emails from us we will remove your email address from our records after sending copy of this form to you.
Your answer
Mobile phone number
Please provide a mobile phone number only if you wish to receive offers and updates through SMS messages from us, otherwise please leave it blank.
Your answer
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