First Day of Christmas 2022 Pre-Order Form




    New Patient to Beauty Bar Medispa?
    YesNo

    I have discussed this treatment with my provider...
    YesNo

    $200 OFF Toxin + Filler Combo when you purchase 50 units of Botox OR Xeomin and a 1ml syringe of Filler of your choice

    Yes! 50 units + Juvederm Ultra ($850, Regularly $1050)Yes! 50 units + Juvederm Ultra Plus ($900, Regularly $1100)Yes! 50 units + Volbella ($1000, Regularly $1200)Yes! 50 units + Vollure ($1000, Regularly $1200)Yes! 50 units + Voluma ($1100, Regularly $1300)Yes! But I don’t know what I need!

    I understand that this is an online order form and that a Beauty Bar Medispa employee will contact me in the next 24 hours to complete my purchase...
    Yes