Nine One Three Salon | Lived-In Color Application

1

Full Name* This field is required.

First Name

Last Name

2

E-mail* This field is required.

3

Instagram Handle* This field is required.

4

Phone Number* This field is required.

Area Code

Phone Number

5

Service Interested in * This field is required.

6

What color service have you done within the last year?

Highlights/Balayage

Lowlights

Grey Coverage/Dark root color

All over color

Box Dye

Have not colored hair in 1+ years

7

How would you describe your natural hair color?

Black (levels 1-2)

Dark (levels 3-4)

Dark Brunette (Levels 5-6)

Light Brunette/Dirty Blonde (levels 7-8)

8

How often do you maintenance your color?

Every 4-6 weeks

Every 8 weeks

Every 10-12 weeks

12+ weeks (low maintenance)

9

Additional details you may wish to share about your hair history:

10

Are you interested in hair extensions as well as color?

YESNO

13

Are you interested in learning more about the products I have to offer at Nine One Three Salon to protect your investment?

YESNO

14

Upload picture of your current hair color

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Max. file size: 10.0MB

Upload a File

15

Submit a picture of your hair color goals* This field is required.

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Max. file size: 10.6MB

Browse Files

16

I understand that it may take several appointments to achieve my desired hair goal:

YESNO