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EUR (€)
Vaitape Bora Bora
Mautara Shopping Center
upstairs
by appointment
at 689 87 20 90 81
T È N A T Ù R A
WELCOME
À propos
Services
THE SILHOUETTE
THE BUST & NECKLINE
THE SCALP
THE LOOK
MASSAGES
Nouvelle page
APPOINTMENT
ONLINE GIFT CARD
Résultats de recherche
THE FACE
Boutique
Event List
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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