Luxury Extensions Application

1

Full Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Area Code

Phone Number

4

What kind of extensions are you interested in?

K-Tip Extensions (keratin bond)

Handtied Extensions

I am not quite sure what is the best option for me

5

What is your overall goal with extensions?* This field is required.(Length, fullness, etc.)

Type answer here.

6

Are you currently wearing extensions?* This field is required.

YESNO

7

What is the density of your hair?* This field is required.

Very thin

Thin

Normal

Thick

8

How long is your natural hair?* This field is required.*Must be at least collar bone length to add length.

Above Shoulder

Collar Bone

Below Collar Bone

Long but short layers

Long

9

What is your goal with your hair color?* This field is required.

Touch Up

Slightly Modify

Change Completely

I don't color my hair

10

Do you have grey coverage OR at home color on your hair?* This field is required.

YESNO

11

How did you hear about us?* This field is required.

Instagram/Facebook

Referral

Google

Other

12

I understand that pricing and results can vary and no pricing will be give until our in person consultation. * This field is required.