Blaq Lavish Extensions

Blaq Lavish Extensions
Custom Order Authorization Form
Thank you for choosing Blaq Lavish Extensions.
Please complete this form within 48 hours of placing your order.
Your custom wig will not enter production until this form has been submitted.
For Bring Your Own Hair (BYOH) orders, production will begin only after:
- Your payment has been received
- This authorization form has been submitted
- Your hair has been received and approved
Failure to complete this form within 48 hours may result in processing delays or cancellation of your order.
Customer Information
Full Name
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Order Information
Order Number
Order Date

MonthDayYear
Date
Service Purchased:
BYOH Hair Approval (BYOH Orders Only)
Cap Size & Measurements
Shipping Address Confirmation
Order Confirmation
Processing & Turnaround
Custom Order Agreement