Body del Sol Medical Spa 4yr Anniversary Event Order Form One Night Only Special Pricing Name: DOB: / / Address: City: State: Zip: Phone: Email: How did you hear about tonight s event? Have you been to one of our events before? Yes No Do you have a Brilliant Distinctions Acct? Yes No Spa Service Per Sol of 6 44% 60 min Massage 75.00 57.00 148.50 252.00 90 min Massage 95.00 72.20 188.10 319.20 60 min Hot Rock 90.00 68.40 178.20 302.40 Massage Del Sol Facial 75.00 57.00 148.50 252.00 Enzyme 90.00 68.40 188.10 319.10 Image O2 Lift 100.00 76.00 198.00 504.00 Chemical s Per Sol of 6 44% Image Lightening Lift 150.00 114.00 297.00 504.00 Image Acne Lift 150.00 114.00 297.00 504.00 Grade 1 & 2 Image Advanced 175.00 133.00 347.00 378.00 Acne Grade 3 & 4 Acne Image 4 Layer Vit C 150.00 114.00 297.00 504.00 Image Wrinkle Lift 150.00 114.00 297.00 504.00 Image Perfection 200.00 152.00 396.00 672.00 Obagi Radiance 150.00 114.00 297.00 504.00 Advance Exfoliation & Micro Needling Per Sol of 6 44% OFF HydraFacial 150.00 114.00 297.00 504.00 Silk 150.00 114.00 297.00 504.00 Microdermabrasion DermaPen 300.00 228.00 594.00 1008.00 Laser Hair Removal of 6 of 9 Per Session Over 65% OFF Over 70% OFF Over 75% OFF Small Area 175.00 175.00 275.00 375.00 Medium Area 275.00 275.00 375.00 475.00 Large Area 375.00 375.00 475.00 575.00 X-Large Area 475.00 475.00 575.00 675.00 Laser Hair Removal Areas: Small Navel/Trail Upper lip Medium Back - upr Hands Large Chest X-Large Areolas Nose Abdomen Bikini Line Neck -frnt Arms-Full Legs-lwr Back Full incl Shoulders Chin SideBurns Arms - lwr Cheeks Neck- Bck Beard Legs-Upr Chest Full incl Abs Ears Toes Arms - upr Feet Shoulders Brazillian Neck-full Legs -Full Fingers Underarms Back -lwr Full Face Buttocks Back
Laser IPL of 5 PhotoFacial Per Session OFF % OFF Face 400.00 900.00 1500.00 Laser Vein Removal Per Session OFF of 5 % OFF 15 min or less 199.00 399.00 599.00 30 min or less 350.00 699.00 999.00 Xeomin & Botox ONLY $9.50 per unit!!! Cosmetic Injectables Per Unit Extended Anniversary Event Xeomin Buy 30 units 12.50 375.00 285.00 90.00 (equals 7 FREE units) Buy 40 units 12.50 500.00 380.00 120.00 (equals 10 FREE units) Buy 50 units 12.50 625.00 475.00 150.00 (equals 12 FREE units) Botox Buy 30 units 12.50 375.00 285.00 90.00 (equals 7 FREE units) Buy 40 units 12.50 500.00 380.00 120.00 (equals 10 FREE units) Buy 50 units 12.50 625.00 475.00 150.00 (equals 12 FREE units) Belotero Number of Syringes Anniversary Event 1 550.00 418.00 132.00 2 1100.00 836.00 264.00 3 1650.00 1254.00 396.00 4 2200.00 1672.00 528.00 Radiesse 1.5 Number of Syringes Per Syringe Anniversary Event 1 650.00 494.00 156.00 2 1300.00 988.00 312.00 3 1950.00 1482.00 468.00 4 2600.00 1976.00 624.00 Juvederm Number of Syringes Per Syringe Anniversary Event 1 550.00 418.00 132.00 2 1100.00 836.00 264.00 3 1650.00 1254.00 396.00 4 2200.00 1672.00 528.00
Body Contouring Per Sol Treatme nt 14% Off Up to of 3 of 6 34% LA SlimWrap 150.00 129.00 21.00 342.00 108.00 594.00 306.00 Per Sol Treatme nt 4% Off of 3 14% of 6 Cool Sculpt Small 750.00 720.00 30.00 1935.00 315.00 3420.00 1080.00 Area CoolSculpt Large Area 1500.00 1440.00 60.00 3870.00 630.00 6840.00 2160.00 Skin Care s - Revision Intellishade Original 53.00 40.28 Nectifirm 72.00 54.72 Intellishade Matte 53.00 40.28 Teamine Eye 72.00 54.72 Cream Vitamin K Serum 44.00 33.44 Brightening 28.00 21.28 Wash Vitamin C 30% Serum 99.00 75.24 Teamine 60.00 45.60 Concealer Lt Teamine Concealer Md 60.00 45.60 Teamine 60.00 45.60 Concealer Drk Anti-Redness Kit 169.00 128.44 Skin Care s - Image Ageless Facial Ageless Resurfacing Masque Ageless Skin Lightening Serum Ageless skin Bleaching Serum Ageless Eye Lift Cream Ageless Anti Aging Serum Vital C Vital C Enzyme Masque 42.00 31.92 Vital C Anti Aging Serum 44.00 33.44 Vital C Intense Moisturizer Vital C Repair 55.00 41.80 Vital C Eye Recovery Off 55.00 41.80 55.00 41.80 59.00 44.84
Ageless Repair 57.00 43.32 Vital C AC E Serum Max Clear Cell Sal Gel Max Serum 96.00 72.96 Clear Cell Med Acne Scrub Max Crème 98.00 74.48 Clear Cell Acne Lotion Max Eye Cream 52.00 39.52 Clear Cell Acne Masque Cell u Lift Firming Body 71.00 53.96 Clear Cell Lotion Clarifying Tonic Face & Body Bronzer 29.00 22.04 Clear Cell Sal Pads Daily Matte 36.00 27.36 Ormedic Moisturizer 32spf Balancing Lip Daily tinted Moisturizer 30spf Ormedic Antioxidant Serum Ormedic BioPeptide MDRX Lightening Complex 36.00 27.36 Ormedic Facial 44.00 33.44 Ormedic Eye Lift 62.00 47.12 Ormedic Gel Masque 69.00 52.44 MDRX Complete System 28.00 21.28 27.00 20.52 30.00 22.80 29.00 22.04 24.00 18.24 29.00 22.04 18.00 13.68 34.00 25.84 175.00 133.00 Skin Care s - Obagi Gentle 42.00 31.92 Renova.02% 90.00 68.40 Foaming Gel 42.00 31.92 Tretinoin.05% 82.00 62.32 Toner 42.00 31.92 Tretinoin.1% 94.00 71.44 Clear 105.00 79.80 Refissa.05% 90.00 68.40 Exoderm 72.00 54.72 Pro C Serum 5% 55.00 41.80 Exoderm Forte 72.00 54.72 Pro C Serum 10% 75.00 57.00 Blender 100.00 76.00 Pro C Serum 15% 92.00 69.92 Sunfader 85.00 64.60 Pro C Serum 20% 112.00 85.12 Sun Shield 50 50.00 38.00 C-Clarifying N-O 120.00 91.20 ElastiLash 69.00 52.44 C-Clarifying N-D 120.00 91.20 Elastiderm Eye Gel 110.00 83.60 C-RX System N-O 338.00 256.88 Elastiderm Eye Cream 110.00 83.60 C-RX System N-D 365.00 277.40 Hydrate 48.00 36.48 360 System 145.00 110.20 HydrateLuxe 70.00 53.20 Gentle Rejuv Sys 288.00 218.88 enica Complex 150.00 114.00 ClenziDerm Sys N-O 145.00 110.20 RosaClear System 165.00 125.40 ClenziDerm Sys N-D 145.00 110.20 Transformation Sys O 445.00 338.20 C&E Surgical Sys 455.00 345.80 Transformation Sys D 445.00 338.20 C& E NonSurgical Sys 465.00 353.40
Skin Care s- Eminence Organic Bright Skin Neroli Eye Serum 58.00 44.08 Bright Skin Moisturizer 58.00 44.08 Lavender Age Correct 70.00 53.20 Eye Serum Bright Skin Masque 54.00 41.04 Naseberry Eye Exfoliant 64.00 48.64 Bright Skin Booster 56.00 42.56 Cucumber Eye Gel 46.00 34.96 Bright Skin Travel Kit 58.00 44.08 Raspberry Eye Masque 64.00 48.64 Calm Skin Wild Plum Eye Cream 70.00 Calm Skin Moisturizer 58.00 44.08 Bamboo Firming Fluid 58.00 44.08 Calm Skin Masque 54.00 41.04 Coconut Age Correct 58.00 44.08 Moisturizer Calm Skin Booster 56.00 42.56 Lavender Age Correct 70.00 53.20 Night Serum Calm Skin Travel Kit 58.00 44.08 Coconut Firming Body 36.00 27.36 Lotion Clear Skin Naseberry Body Lotion Clear Skin Moisturizer 58.00 44.08 Pear & Poppy 46.00 34.96 MicroPolisher Clear Skin Masque 54.00 41.04 Monoi Body Cream Clear Skin Booster 56.00 42.56 Monoi Face n Neck Crm 64.00 48.64 Clear Skin Travel Kit 58.00 44.08 Lime Refresh toner Firm Skin Neroli Retinol Toner Firm Skin Moisturizer 58.00 44.08 Wild Plum Toner Firm Skin Masque 54.00 41.04 Firm Skin Booster 56.00 42.56 Firm Skin Travel Kit 58.00 44.08 ALL PURCHASES ARE FINAL. NO REFUNDS WILL BE GIVEN. ONLY EXCHANGE OR CREDIT TOWARDS DIFFERENT PRODUCTS OR SERVICES. SERVICES PURCHASED MUST BE USED BY THE PURCHASER, NO EXCEPTIONS. ANY UNUSED SPECIAL PRICED PACAKGES WILL NO LONGER BE QUALIFIED AS SPECIAL PRICING REGULAR PRICE GOES INTO EFFECT FOR USED SERVICES ANY REMAINDER IS SUBJECT TO 25% CANCELLATION FEE ANY BALANCE IS ELIGIBLE FOR EXCHANGE OR ACCOUNT CREDIT. Cash$ CC# Credit$ VISA/DISCOVER/MASTERCARD Grand EXP DATE BILLING ZIP CVC# You may print out this form, fill it out and bring to the event. If you are unable to attend the event You may download this form, fill it out and fax to 432-7541 so you may take advantage of this ONE NIGHT ONLY SPECIAL PRICING. SIGNATURE Thank you