1590 Highland Ave. Melbourne, FL 32935

Wedding Questionnaire

We offer a variety of pre-wedding treatments. Our associates are eager to meet all of your wedding desires.

For more information, (321) 253.2054

If you have any problems submitting this form please do not hesitate to call us at 321-253-2054 or email us with any questions. We will verify any appointment by phone or email shortly after the form is submitted. Expect 1-2 business days after submission.

Bride's Information

First Name:*

Last Name:*

Email:*

Phone Number:*
Wedding Date:*
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Salon Arrival Time:

Salon Departure Time:

Check all services that apply:
UpstyleMakeupManicureShellac Manicure (Gel Nails)PedicureMassageFacialBrow WaxLip WaxFace WaxBikini WaxBrazilian Wax

Mother of the Bride Information

First Name:

Last Name:

Email:

Phone Number:

Check all services that apply:

UpstyleFlat Iron - CurlsMakeupManicureShellac Manicure (Gel Nails)PedicureMassageFacialBrow WaxLip WaxFace Wax

Mother of the Groom Information

First Name:

Last Name:

Email:

Phone Number:

Check all services that apply:

UpstyleFlat Iron/CurlsMakeupManicureShellac Manicure (Gel Nails)PedicureMassageFacialBrow WaxLip WaxFace Wax

Maid of Honor Information

First Name:

Last Name:

Email:

Phone Number:

Check all services that apply:

UpstyleFlat Iron/CurlsMakeupManicureShellac Manicure (Gel Nails)PedicureMassageFacialBrow WaxLip WaxFace Wax

Flower Girl's Information

First Name:

Last Name:

Email:

Phone Number:

Check all services that apply:

UpstyleFlat Iron/CurlsMakeupManicureShellac Manicure (Gel Nails)PedicureMassageFacialBrow WaxLip WaxFace Wax

Bride's Maid Information

First Name:

Last Name:

Email:

Phone Number:

Check all services that apply:

UpstyleFlat Iron/CurlsMakeupManicureShellac Manicure (Gel Nails)PedicureMassageFacialBrow WaxLip WaxFace Wax

Bride's Maid Information

First Name:

Last Name:*

Email:

Phone Number:

Check all services that apply:

UpstyleFlat Iron/CurlsMakeupManicureShellac Manicure (Gel Nails)PedicureMassageFacialBrow WaxLip WaxFace Wax

Bride's Maid Information

First Name:

Last Name:

Email:

Phone Number:

Check all services that apply:

UpstyleFlat Iron/CurlsMakeupManicureShellac Manicure (Gel Nails)PedicureMassageFacialBrow WaxLip WaxFace Wax

Are you interested in having a Bridal Shower at Maxine's? Have any special requests, comments or questions?