Wig Maintenance Form - Luxe Maintenance

Wig Maintenance Form - Luxe Maintenance

This deluxe washing service comes with a cleanse removing any tangles, matts, glue, or makeup build up PLUS deep conditioning, blowout, and styling. If your wig has sustained damage or excessive hair loss from rough handling or improper use, we will be happy to assess the piece for repair, with an additional charge of $85.
Preferred contact method *

Phone Call Email Text
Client's Name

First Name Last Name
Client's Phone Number
Client's Email Address
example@example.com
When did you purchase your wig? (Approximate date is fine)

Month Day Year
Date
How would you describe your wig? (Length, texture, density, color, etc)
What are your main concerns about your wig?
When did you last wash your wig?
How often do you wash your wig?

Every week Every 2 weeks Every 3-4 weeks Every 2 months Every 2-6 months Twice a year Once a year Other
How would you describe the current condition of your wig?
How often do you apply shampoo and conditioner to your wig?

Every day Every other day Twice a week Once a week Other
What is the current condition of your wig?

Hair loss/patches in frontal Damage due to heat Split ends Needs styling Dirty Dry ends Matted Makeup build up on lace Glue on lace Routine wig maintenance Other
Have you done any of the following to your wig?

Bleached knots Bleached wig Colored wig
What products are you currently using at home to maintain your wig (shampoo, conditioner, treatments, styling products)?
Customization Options:

Bleached knots +40$ Tweezing and plucking hairline +40$ Add an elastic band for clueless wear + 15$ Add extra reinforcement with wig clips +3$ each clip
It can take up to 45 days for cleaning and maintenance – if you have an event coming up, be sure to check in with us first and ensure that we can fit your wig in and have it ready to send back in time.
Any special instructions, comments, or suggestions?
How did you hear about us?

Facebook Twitter Instagram YouTube Online Advertisement Google Search Referred by a friend Newspaper/Magazine Other
After you submit this form, you'll receive an Agreement contract via email. This contract will include instructions for shipping your wig, the address, and an invoice for the service. If you do not receive an email from us within 48 business hours, please contact us (be sure to check your spam folder).
Client Signature

Clear
Date Signed

Month Day Year
Date
Should be Empty: