Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
How did you hear about us?
*
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Family or friend
Facebook
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Have you ever colored your hair before? *Select all that apply
*
Box dye / Store Bought
Never colored "It's My First Time"
What Service are you Requesting? Select all services that apply to scheduling.
*
Haircut
Basic color (one color going darker, or same color touch up)
Grey coverage color (Covering greys or Grey Blending.)
Highlights Going Blonde/Lighter
All over color Going Blonde/Lighter (Select if color wanted is lighter than Natural.)
Balayage Going Blonde/Lighter
Highlights and Grey coverage color
Highlights and All over color (select if color wanted is different from Natural Hair.)
Balayage and Grey coverage color
Balayage and all over color (select if color wanted is different from Natural Hair.)
Vivid colors (example: Pink, Blue, Red,Teal ect.)
Deep conditioning treatment and Blowout
Blowout
Request Time and Day for Appointment.
*
Mornings
Afternoons
Evenings
Tuesday
Wednesday
Thursday
Friday
Saturday
Requesting a Color correction. Brief Description of what happened and what your looking for.
Picture of current hair.
*
Browse Files
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Picture of Hair goal or inspiration.
*
Browse Files
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Will you be willing to recommend us?
Yes
Maybe
No
Did someone refer you? Tell us who and you both will receive client referral rewards!
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