NEW Appointment Request Form 2021/2022

Appointment Request

When request is submitted, the closing page will appear.
Please call the salon if you require an immediate appointment.

Phone number is required for us to contact you. We work as quickly as possible to return requests. Thank you for your inquiry.
Full Name *

First Name Last Name
Phone *

Area Code Phone Number
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Are you new to Hair Chiasso?

Yes, I'm a new guest (Please see next question) Yes, I was referred by a friend I've been there before, but it's been a while I visit regularly
If you are a new guest, please tell us how you found Hair Chiasso
Services Requested - Please check all that apply

Haircut Root Touch Up Partial Highlights Full Highlights Specialty color technique (Balayage, Teasylights, Fashion Color) Manicure - Natural Nails Manicure - French tip polish Shellac Manicure Shellac Manicure with specialty technique (Nail Art, French tip polish) Brow wax Other waxing Brow Tint Lash Lift Lash Tint Special event Makeup Special event Hair - wash and blow dry Special event Hair - iron styled or curls (no wash) Special event Hair - any amount (all or partial) pinned up (no wash) Customized Bioelements Facial Relaxation Massage Dermaplane Curl Cut Dry Curl Cut and Cleanse Curl Cleanse and Style
What time works best for you? *

Morning Afternoon Evening
What days work best for you? *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Preferred Service Provider
Please provide any other pertinent information
Should be Empty:

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Appointment Request

Please call the salon if you require an immediate appointment.