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You'll need this script:

There is also a script below this text that you'll need to copy.

Please place your date and time of your appointment, please give 2 alternatives.
Prices: 0-1hr $35.00, 1-2hrs $60.00, 2-3hrs $90.00, 3-4hrs $120.00

 Preferred Date/Time use format Dec/30/2012:10.30am

 1st Alternative

 2nd Alternative

Estimated Time: