New Guest Inquiry for Extensions

1
Name* This field is required.First & Last
First Name
Last Name
2
Phone Number* This field is required.Best number to reach you at.
Please enter a valid phone number.
3
Email Address* This field is required.Used for confirmations, appointment details, and curated salon updates.
example@example.com
4
What is the best way to contact you?* This field is required.Choose how you’d like our team to reach out regarding your appointment.
Text
Email
Call
5
When is your birthday?* This field is required.Gift giving is our love language
Date
Year
Month
Day
6
Address* This field is required.Full Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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Afghanistan
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Finland
France
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The Gambia
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Maldives
Mali
Malta
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Martinique
Mauritania
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Mayotte
Mexico
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
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Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Samoa
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Senegal
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Somaliland
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eSwatini
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Taiwan
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Tanzania
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Yemen
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Zimbabwe
Other
Country
7
What are you currently struggling with the most right now?* This field is required.Tell us what’s been frustrating you lately so we can create a solution tailored just for you.
Finding my signature hair color and/or cut
Dry hair and/or scalp
Chemical and/or heat damage
Hair loss and/or thinning
Frizzy hair
Lack of volume
Oily and/or greasy hair
Dandruff
Split ends
Dull hair and/or lack of shine
Gray hair
Styling hair and/or using products
None of these - I want to talk to someone
8
Please select the services you are interested in* This field is required.Before anything can happen, we do require a consultation.
Consultation
Hand Tied Weft Extensions
Tape In/Medical Grade Adhesive Extensions
Extensions, just Not Sure What Kind
9
Current Hair Uploads* This field is required. Please upload 2 - 4 current pictures of your hair in the most natural lighting possible. No filters. Please note - all images uploaded are kept secure, confidential, and private to A Signature Salon employees only. We require this to better understand how we can achieve your goals.
Drag and drop files here
Select files to upload
Cancelof
10
Inspiration Hair Uploads* This field is required.Please upload any images that you would like your hair to look like.
Drag and drop files here
Select files to upload
Cancelof
11
Preferred Appointment Availability* This field is required.Let us know your ideal days and times, along with any flexibility in your schedule. We’ll do our best to match you with the perfect appointment slot.
Tuesdays
9 am - 11 am
Wednesday
12 pm - 3 pm
Thursday
4 pm - or after
Friday
I am flexible
Saturday
Other
12
What investment range are you comfortable with for this service?* This field is required.Remember, first time transformational appointments tend to be higher priced than a maintenance or touch up appointment. First time appointments also include the price of the hair - this is most expensive. You will find installs and upkeep are fairly affordable. We are happy to work with your budget to meet your goals efficiently, effectively, and with integrity.
I have no budget, I just want to achieve my goal
I am interested in hair extensions and understand the pricing it entails
I am interested in hair extensions and I do NOT understand the pricing it entails
13
Have you had extensions before?* This field is required.
Yes - talk to me about it
No
14
Anything else we should know?Tell us about your daily routine, styling struggles, past hair regrets (we’ve all been there), or anything that helps us create your perfect look.
Huge
Large
Normal
Small
Ok
Ok
15
How did you hear about us?* This field is required.If you got referred to us by a friend/family member, let us know so we can treat them!
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