Social media name
*
Name
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name on instagram
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Name on tik tok
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How would you rate your last unit from Emmy Hair?
*
1
2
3
4
5
( 5 stars is great/ 1 star N/A )
Unit type
*
Closure unit ($150)
Frontal Unit ($175)
BYOB Closure unit ($175)
BYOB Frontal unit ($200)
Other
Texture
*
Straight
Body wave
deep wave
Kinky Straight
Water wave
Length
*
BYOB
14’’ ($180+)
16’’ ($210+)
18’’ ($228+)
24’’($284)
26”($300)
28’’($318)
14,16,18 ($200+)
24,26,28 ($300+)
Other
Lace
*
HD lace 5x5 Closure 14’’ (150+)
HD lace 13x4 Frontal 14” (189+)
Swiss transparent lace 5x5 Closure 14’’($140+)
Swiss Transparent Lace 13x4 Frontal 14’’ ($156)
HD lace 5x5 closure 24’’($167)
HD Lace 13x4 frontal 24’’($200)
Swiss Transparent 5x5 closure 24’’($145+)
Swiss Transparent 13x4 frontal 24’’($160)
BYOB
Other
Tint Lace
*
No
Chocolate
Toffee
Butterscotch
Caramel
INSPIRATION PHOTO(S)
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Head Measurements? Not one size fits all
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Would you like to add any accessories to your order? (What and how many)
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