Appointment Confirmation Letter

1
Full Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
3
Phone Number* This field is required.
Area Code
Phone Number
4
Prefered method of contact?* This field is required.How would you like to communicate?
Email
Text
5
Service required* This field is required.Color Correction, Blonding, etc.
Please Select
Please Select
Blowout
Long Cut /Trim
Color Service
Blonding Service
Color Correction
6
Stylist preferred* This field is required.Claudine
Please Select
Please Select
Claudine
7
AvailabilityKnowing when you are available helps us to schedule you efficiently. Color services can take several hours. Please pick the days when you have the most free time.
Wednesday 10-5
Thursday 10-5
Friday 10-5
Saturday 10-5
Sunday 10-5
8
Date Requested* This field is required.Please be aware that this is only a request, and not an appointment guarantee.
Date
Day
Month
Year
9
Time Requested* This field is required. Please be aware that this is only a request, and not an appointment guarantee. Blonding and Correction services are scheduled bright and early.
Please Select
Please Select
10.00am
11.00am
12.00pm
1.00pm
2.00pm
Please note that I do not accept color clients past 2 pm
10
Please list all chemical history for the past 4 years. This includes color, bleaching, temporary color, colored conditioners & masks, relaxing & perm services.Please note: this is for timing purposes only, and it helps us to schedule you appropriately.
11
Awesome!

Thank you for taking the time to fill out this appointment request form. Please be aware that this is only a request, and it does not guarantee service.

We will review your availability and contact you with your appointment date & time within the next 24 hours.
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