Custom Wig Consultation Form

Custom Wig Consultation Form

Please note, this form is for custom wig inquires ONLY! During the selected date and time, we will go over your desired look, lace type, head size and other details to ensure we're servicing you properly. If you have any questions, contact us at imperialhairservice@gmail.com or 803-454-5971.
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
What is your preferred method of contact?*

EmailText Message
Are you experiencing hair loss?*

YesNo
Select an appointment
Where would you like the consultation to take place?*

In Person ( Hopkins, SC )Zoom Meeting
Below submit an inspiration picture and any details that will help me assist you. If you're unsure, don't worry—I’ll guide you during the consultation!
Upload an image of the hair of the wig color & style you prefer

You can upload multiple files here
Cancelof
Any special instructions?
Client Signature*

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