Salon 705 Appointment Request Form

1
Hey Babe! My name is Amanda and I am the owner of Salon 705!
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Full Name* This field is required.
First Name
Last Name
3
Are you interested in Natural Beaded Rows™ hair extensions?* This field is required.
YESNO
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Phone* This field is required.
Area Code
Phone Number
5
E-mail* This field is required.We will contact you by email. Please provide an up to date email address.
6
AddressYour address is used for our rewards system and will not be shared.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
United States
Please Select
United States
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Mongolia
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Montserrat
Morocco
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Namibia
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Netherlands
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New Caledonia
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Nigeria
Niue
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Norway
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Palestine
Panama
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Paraguay
Peru
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Poland
Portugal
Puerto Rico
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Romania
Russia
Rwanda
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Slovenia
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Somaliland
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eSwatini
Sweden
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Syria
Taiwan
Tajikistan
Tanzania
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Tonga
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Isle of Man
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Yemen
Zambia
Zimbabwe
Other
Country
7
What days work best for you?* This field is required.
Wednesday
Thursday
Friday
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What time works best for you?* This field is required.
Morning
Afternoon
Evening
9
Is your hair currently colored?* This field is required.
YESNO
10
Please provide a two year hair history of color and chemical services (perms, straightening treatments, etc.) you have had on your hair.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
11
Please show us your current hair.

Follow the instuctions below and upload photos of your current hair on the next steps. This will help us determine what services you need and a pricing estimate.

Must be photos of your CURRENT hair (today).

Use your cell phone.

Have someone else take the photos of you.

Take in natural light (no flash or direct sunlight).

You will upload two photos- front and back.

*If you cannot get photos to upload please try dragging and dropping them into the upload box from a desktop computer.*
12
Please upload a photo of your current hair from the front.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Please upload a photo of your current hair from the back.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
14
What services are you interested in?* This field is required.
15
Please upload your INSPIRATION hair.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
16
How often would you like to visit the salon to maintain your hair?* This field is required.
Every 4-6 Weeks
Every 6-8 Weeks
Every 8-12 Weeks
Less Than 4x Per Year
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How did you hear about Salon 705?* This field is required.
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