NBR® APPLICATION

1
What's your FIRST Name?* This field is required.
2
Nice to meet you, {fname}!

I'm Stormi Potucek and am super excited to hear about YOUR Specific Hair Goals, and WHY You Want to Experience Natural Beaded Rows®.

That's why I have a couple quick questions for you to help me assess the current state of your hair, which ultimately helps me determine if NBR® will suit YOUR Specific Hair Goals and Needs.
3
Are you currently Wearing Hair Extensions?* This field is required.
YESNO
4
How long have been wearing Hair Extensions?* This field is required.
0-3 Months
4-12 Months
1-3 Years
4-6 Years
7-10 Years
10+ Years
5
Have you had Hair Extensions in the past?* This field is required.
YESNO
6
What Hair Extension Methods have you had, and what has been your experience with them?* This field is required.
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Large
Normal
Small
Ok
Ok
7
Which of the following describes your hair?* This field is required.
Fine
Medium
Coarse
8
Which of the following describes your hair?* This field is required.
Very little amount of hair.
Medium amount of hair.
A lot of hair.
9
Is your hair shoulder length or longer?* This field is required.
YESNO
10
Do you color your hair?* This field is required.
YESNO
11
Are you looking to change your hair color completely, or stay with what you have today?* This field is required.
Radically change my color
Stay with what I have, with minor adjustments
12
{fname}, what is it about Natural Beaded Rows® that has you ready for a NBR® Consultation with me - and why now?* This field is required.This is a chance for you to tell me a little more about The WHY behind your desire to sit in my chair and experience NBR®, so take a few moments to think through and complete this question.
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Large
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Small
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Ok
13
What's Your LAST Name?* This field is required.
14
What's Your Email Address?* This field is required.
example@example.com
15
What's Your Phone Number?* This field is required.
Area Code
Phone Number
16
Show Me Your Current Hair

Follow the instructions below and upload photos of your current hair on the next steps.

This is the final stage of the application and the most important.

Must be photos of your current hair.

Use your cell phone.

Have someone else take the photo for you (No Selfies)

Take in natural lighting indoors (No Flashes or Direct Sunlight)

You will take two photos - Front and Back.
17
Upload Your FRONT Shot:* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
Upload Your BACK Shot:* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
19
Upload Your Desired Look / Inspirational Photo:* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
20
NBR® Pricing Information

Thanks for taking an interest in Natural Beaded Rows® Hair Extensions.

Right now I only offer services out of the No Coast Salon located Derby, Kansas.

FIRST TIME CLIENTS

Most first time clients can expect to invest $1,000* to $1,700* for us to work together getting you the hair of your dreams.

This investment covers NBR® Hair Extensions, Seamless Color, Cut and Styling.

RETURNING CLIENTS

For my returning NBR® Clients you can expect the following:

Re-tighten the NBR® Hair Extensions every 6-8 weeks.

Replace the NBR® Hair Extensions every 4-6 months with brand new hair.

Some choose to refresh some of the hair sooner than later, and this comes with additional investment.

A usual tighten and color touch up ranges between $350 - $600*

*All pricing subject to change.
21
{fname}, having full knowledge of the financial commitments to obtain and maintain your Natural Beaded Rows® Hair Extensions, are you prepared to make the financial investment necessary to Sit In My Chair and Get the NBR® Experience?* This field is required.
YES! I Can't Wait to Sit In Your Chair and Experience NBR®!
No. I am not ready to experience having the hair of my dreams.
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