Pop Up Salon Inquiry Form
To take a step closer to your amazing new hairstyle, kindly fill out this form. Atlanta - February 24-26 2024
Name
First Name
Last Name
Phone Number
Email
example@example.com
Select a salon service
Sew In Extensions
The Optimum Experience
Select an appointment
Upload an image of the hair style you prefer
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
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Any special instructions?
How often do you go to salon?
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
Other
How long is your hair?
Short
Medium
Long
Kindly describe the status of your scalp.
Dry
Normal
Oily
Other
Describe your hair by checking the options below: (You can select more than one)
Healthy
Damaged
Straight
Wavy Curly
Fine
Thick
Other
Have you experienced any issues with hair loss in the past?
Are you currently taking any medications? If yes, please list them below. If not, please put N/A.
What is your Instagram/Facebook handle:
How did you hear about this salon?
Facebook
Twitter
Instagram
YouTube
Online Advertisement
Google Search
Referred by a friend
Newspaper/Magazine
Other
Client Signature
Date Signed
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Month
-
Day
Year
Date
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