Appointment Request & Deposit Form

Appointment Request & Deposit

You will get an email back to confirm.
Appointment Request & Deposit

( covid contact tracing information )
Client Full Name*

First NameLast Name
E-mail *
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Colour Service*

Freshen UpGlam SessionFull Glam SessionCorrective ColourNo Colour Service Required
Extension Install*

One RowTwo RowsThree RowsNo Extension Service Required
Additional Questions or Comments:
I agree to all of the above, Signature*

Clear

My Products*

Appointment Deposit$100.00CAD

This will go towards your day of hair appointment total. ex. if your total is 340, you will have 100 deposit and your remaining balance will be 240.