TRAVEL / MOBILE / ON-SITE REQUEST FORM Name * First Name Last Name Phone * Email * Service Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Service Location Type * Private Residence Hotel / AirBNB Commercial Space Event Venue Other Date * MM DD YYYY Preferred Time Window * Alternate Date MM DD YYYY Requested Services * Gel (Shellac) Manicure Structured Manicure Gel X Extensions Modern Pedicure Classic Manicure Other Is this for a special event or occasion? * Yes No If Yes, What type of Event? Acknowledgment & Agreement * I understand a travel fee may apply based on location and service. I acknowledge this is a request only and not a confirmed appointment. I agree to UrbanSexyChic’s travel, cancellation, and late policies. Additional Notes or Questions Thank you for your request! Your form has been submitted and will be reviewed within 24–48 hours. Please note this does not confirm an appointment.
