New Guest Intake Form
It's so nice to meet you! Thank you for completing the new guest profile. This helps me to guarantee your best possible experience today and for all future visits. I will keep this securely in your online file and it will not be shared with any other members. Let me know if you have any questions as you complete the form.
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
How did you hear about us?
*
Please Select
Newspaper
Internet
Magazine
Other
Please Specify
*
Please list any color enhancing services & products you have used in the last 12 months:
Please list what homecare products you are using:
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Service Redo & Retail Policy:
If you have challenges with color or haircut, let me know within 7 days of your visit. I am happy to correct the issue with no additional charge. Should you make a retail purchase & are unsatisfied with, I will accept retail exchange at full credit within 30 days from initial purchase. Please select below if you agree to these terms & would like to continue with service today.
Signature
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Should be Empty: