Form

3D Hair And Supplies - Customer Wig Order Authorization & Agreement
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
ORDER INFORMATION
Shopify Order Number
Order Type
Order Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
WIG DETAILS & MEASUREMENTS
Wig Type
Head Circumference (Inches)
Front to Nape (Inches)
Ear to Ear (Inches)
Nape to Nape (Inches)
BYOB HAIR DETAILS
Number of Bundles Provided
Bundle Lengths
Hair Texture
CUSTOM WIG ORDER AUTHORIZATION & AGREEMENT
ORDER VERIFICATION& FRAUD PREVENTION

3D Hair And Supplies reserves the right to request identification and proof of payment to verify an order. All information must math the order information provided. Information collected will only be used for order verification, fraud prevention, and dispute resolution. By signing below, you authorize this purchase and understand that this agreeement and order records may be submitted as evidence in event of a dispute or chargeback.
Customer Acknowlegment
Customer Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

3D Hair And Supplies - Customer Wig Order Authorization & Agreement