Name: Samba Glow
Address: 3570 Alameda de las Pulgas, Menlo Park, CA, 94030
Telephone: 650-521-0336

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*Is this your first time spray tanning?	NO Yes
*Are you pregnat, possibly pregnant or breast-feeding?	No Yes
*Are you allergic to latex?	NO Yes
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*Reason for Visit :	photoshoot special event vacation wedding performance Just want some color
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