Custom Color Order

Custom Color Order

TODAYS DATE*

Date

Full Name*

First NameLast Name

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example@example.com

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Area CodePhone Number

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Street Address

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Are you...

Current guestNew guest

What are you needing most from your stylist at this time?

Products from DPHUE!

Root Touch Up Kit ($45)

The root touch up kit provides up to one inch of coverage at your part and your hairline - not meant for the full head!
• Salon-quality permanent gray coverage for hairline and partline.
• Everything you need for 2 applications, box unfolds into work surface.
• Not intended for drastic color changes or to lighten hair.
• Available in 7 shades.

Gloss+ 6.5 oz ($35)

• Semi-permanent hair color in a deep conditioning base.
• Enhance or deepen natural and color treated hair.
• No peroxide, ammonia or mixing.
• Use Sheer alone or mix with other shades to create custom color.
• Available in 11 shades.

Color Touch-Up Spray - 2.5 oz ($28)

• Instantly cover or blend roots with dual-action nozzle.
• Targeted nozzle for precision and wider nozzle for blending
• Fast drying, no sticky residue.
• Fine hair? Apply using wide nozzle to help cover scalp spots.
• Available in 10 shades.

How do I place an order?
You may notice that ordering a kit for yourself from the website DPHUE.COM may return with shade results that show your desired products are not in stock! Right now, stylists are given precedent to the company's products; so we are best able to assist our guests. However, this is the benefit of getting your order directly through me because YOU get priority, too!

What happens next?
After submitting this form, I will make product selections for you based on your preferences, and will then send you a secure, online invoice via Square Invoices to complete your order. If there are products that are not in stock, I will let you know, and also will provide an alternative solution if available.

The prices listed on this form are only to show your shopping total prior to purchase. Until you have received an invoice from me to complete your order, no purchase or charge will be made.

Select from the following options that best describe your hair needs.

	Please Select
Root Touch-up Kit x1 - $45
Temporary Root Camouflage Spray x1 - $28
Custom Semi-Permanent Gloss x1 - $35
Root touch up, Gloss and Root Spray (all 3) - $108

Thank you!

Please note the following statements and submit your signature at the end of this document!

Aly is recommending products from dpHUE. These products are designed to soften root lines and blend grey hair. These products can darken hair but CANNOT make hair lighter.

I understand the grey coverage may not be 100% opaque and that my hair will not be lighter/blonder at the root. I have read through this document in its entirety and understand the terms listed.

Yes.

Please sign or initial below to show that you have provided information in this form to the best of your knowledge, and that you have read and understand the conditions listed.

Signature