Salon Appointment Deposit Form

SALON APPOINTMENT DEPOSIT FORM
Full Name*

First NameLast Name
E-mail*
Contact Number*

Area CodePhone Number
NouriTress Salon Deposit Information:
- $25 - Regular Hair Service Appointment deposit
- $75 - Hair Loss Consultation Appointment deposit
- $100 - Hair Weaving/Replacement Appointment deposit
Please select the appropriate deposit fee below
Appointment Request Time*
Please note, your appointment request is not confirmed until you receive a call from our Salon Coordinator. Due to our high demand, we recommend booking in advance to secure your desired appointment time.
Are you a new or existing customer*

NewExisting
Is the age of the client younger than 25?*

NoYes
Who referred you?*

Facebook AdGoogleWebsiteClientWalk InOther
Select Stylist*
Preferred Stylist*

First AvailableOther
Select Requested Service (select all that apply)*

Shampoo & StyleShampoo & Natural Hair Silk PressRelaxer TouchupRelaxer VirginSemi-Permanent ColorPermanent ColorDesign CutTrim/Maintenance CutHair Recovery Treatment - Oxygen Scalp TherapyHair Recovery Treatment - LED Light TreatmentSteam Hydration TreatmentHair WeavingHair Loss Consultation / Scalp AnalysisOther

My Products*

Regular Hair Appointment Deposit$25.00

This deposit will be deducted from your salon service on your scheduled appointment. Please bring payment receipt with you.

Hair Replacement Appointment Deposit$100.00

This deposit will be deducted from your salon service on your scheduled appointment. Please bring payment receipt with you.

Scalp Analysis Appointment Deposit$75.00

This deposit will be deducted from your salon service on your scheduled appointment. Please bring payment receipt with you.

Subtotal $0.00Shipping $0.00Total $0.00

Credit Card

Google Pay

SALON APPOINTMENT DEPOSIT FORM