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Appointment Request Form
Don't let your customers live in pain waiting inline! Let them request an appointment schedule online at a time that works both for you & your customer.
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1
Full Name
*
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First Name
Last Name
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2
Phone
*
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Area Code
Phone Number
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3
E-mail
*
This field is required.
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4
What services are you interested in?
I am currently only accepting clients for Concealed Bead Method extensions + color services.
Color - blondie
Color - brunette
Concealed Bead Method extensions
BOTH
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5
What services are you intersted in?
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6
What days work best for you?
*
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Monday
Tuesday
Thursday
Friday
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7
What time works best for you?
*
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Morning
Afternoon
Evening
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8
Any specific date/time you’d like your hair done by?
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Date
Month
Day
Year
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Hour
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50
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Minutes
AM
PM
AM
AM
PM
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9
Give a brief hair history (box color, salon visits, etc - the past two years)
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10
Photo of your current hair
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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11
Photo of your goal hair
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Select files to upload
Max. file size
: 10.6MB
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12
Is there anything else you’d like me to know or any questions you'd like answered?
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