New Guest Application

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Area Code

Phone Number

4

How'd you find Hair By Melina?

5

What's the name of your friend who referred you?

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Based upon Melina's Service Menu, what Service Package are you thinking you may need?

The Keep-Up $200+

The Maintain $325+

The Transform $465+

The Smooth $300+

The Cut $100+

Other

9

Hair Density Examples

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How would you describe your hair density/thickness?

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Hair Length Chart

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In the state that you wear it most often (Natural, Straightened, Smoothed, Curly etc.), How would you describe your hair length?

13

Your hair history within the last 3+ years.

I have colored my own hair.

I have not colored my hair in 3+ years.

I have gotten my hair colored professionally.

Other

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Upload 2 photos of your hair-front and back, No filters and in natural, shaded lighting, no direct sunlight (required )* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

16

Please upload up to 3 photos of your goal hair (required)* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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What are you looking to get done? Is there anything else you'd like to share?