Hair Order Verification Form

Hair Order Verification Form
Name*

First NameLast Name
Address ( Must Match Your Purchase Address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
UPLOAD GOVERNMENT ISSUED ID (NAME MUST MATCH YOUR PURCHASE NAME ON FILE)**

Cancelof
Last 4 digits of the card used to place order?
I Full Name* authorized the amount of Put the exact purchase amount* to Tailormadewigsnyc LLC for the purchase of a unit.
What is your Instagram ?*
Signature*

Clear
I confirm the information given is true. I acknowledge and understand that there are no refunds and all wig sales are final.*

Yes
Should be Empty: