Facial First Trial Booking Form Book an Appointment (Facial) Name: Email: Contact Number: Preferred Branch: —Please choose an option—AlexandraNovenaOrchard CentrepointNovena Medical CenterTampinesSembawang Preferred Appointment Day: —Please choose an option—WeekdayWeekend Preferred Appointment Time: —Please choose an option—12:00 - 1:00pm1:00 - 2:00pm2:00 - 3:00pm3:00 - 4:00pm4:00 - 5:00pm5:00 - 6:00pm I have read and agreed to the terms and conditions stated below.