Custom Unit Confirmation Form
Please Fill Out.
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I agree to the no refund or exchange policy?
*
Yes
No
I agree to the color service policy?
*
Yes
No
Do you agree with Hair By Asenda turn around time? (7-15 Business days)
*
Yes
No
If you need your unit before the turn around time, Do you agree to pay the rush fee? (Rush Fee $75)
*
Yes
No
Please pick date and time you would like to pick up your unit.(Must be 7-15 business days after the day you booked Custom Unit)
*
-
Month
-
Day
Year
Date
Would you like to be notified about promotional services?
*
Yes
No
Signature
*
Submit
Submit
Should be Empty: