G-PXSVXYW7RF G-PXSVXYW7RF
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EUR (€)
Vaitape Bora Bora
Centre commercial de Mautara
à l'étage
sur rendez-vous
au 689 87 20 90 81
T È N A T Ù R A
SIGNATURE
CHARTE & CONTRE-INDICATIONS
LE VISAGE
LISSAGE SILHOUETTE
KB HAIR
LE REGARD
RITUELS DU CORPS
MAQUILLAGE ARTISTIQUE
BOUTIQUE
L'EPILATION
CONTACTEZ MOI
CARTE CADEAU EN LIGNE
RESERVER UN SOIN
Health declaration
Please fill out the following form.
First name
Last name
Email
*
Date of birth
Month
Month
Day
Year
Have you been hospitalized in the last 12 months?
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes
If you answered yes to any of the questions above, please supply additional information.
Initials
*
I declare that the info I’ve provided is accurate and complete.
*
Submit
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