new guest request

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Please enter a valid phone number.

3

Email* This field is required.

example@example.com

4

How did you find Bettina?* This field is required.

5

Examples of Hair Density

7

Examples of Hair Length

8

In the state that you wear it most (natural, smoothed, curly), how would you describe your hair length?* This field is required.

Short

Medium

Long

Extra Long

9

You hair history in the past 3+ years.* This field is required.

I have colored my own hair.

I haven’t colored my hair in 3+ years

I've had my hair professionally colored.

My hair is completely natural.

11

12

Based upon the previous service menu, which services do you think you may need?

Haircut $70

Root Refresh $90+

Partial $120+

Full 180+

Transformation $110 per hr

13

Upload a couple pictures of your hair.* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

14

Upload any inspiration pics you might have.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

15

What are you looking to get done? Is there anything else you'd like to share?* This field is required.