Appointment Request

Appointment Request Form

Please fill out the following info and your preferred hairstylist will contact you soon!
Your Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
What Are You Looking For?*

Hand Tied ExtensionsHaircutColor ServiceOther
Which Stylist?*

April Fidura (NBR Hand Tied Extensions)Tiana Boruff (Color Service and IBE Hand Tied Extensions)Johanna Boggs (Haircut)Not Sure
Please Describe What You Have in Mind (include as much detail as possible)*
What Days Work Best for You? (select all that apply)*

Any dayTuesdayWednesdayThursdayFriday
What Times of Day Work Best for You? (select all that apply)*

AnytimeMorningAfternoonEvening
Current Photo of Your Hair (front/back/side)*
Current Photo of Your Hair (front/back/side)*
Current Photo of Your Hair (front/back/side)
Hair Inspiration Photo*
Hair Inspiration Photo
Hair Inspiration Photo
Please verify that you are human*
Should be Empty:

Appointment Request Form