Salon 705 Appointment Request Form

1
Full Name* This field is required
First Name
Last Name
Press
Enter
2
Are you interested in Natural Beaded Rows™ hair extensions?* This field is required
YESNO
Press
Enter
3
Phone* This field is required
Area Code
Phone Number
Press
Enter
4
E-mail* This field is requiredWe will contact you by email. Please provide an up to date email address.
Press
Enter
5
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
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
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
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
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
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Press
Enter
6
What days work best for you?* This field is required
Tuesday
Wednesday
Friday
Saturday
Press
Enter
7
What time works best for you?* This field is required
Morning
Afternoon
Evening
Press
Enter
8
Is your hair currently colored?* This field is required
YESNO
Press
Enter
9
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
Small
Normal
Large
Huge
Ok
Ok
Press
Enter
10
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.
Press
Enter
11
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
Browse Files
Cancelof
Press
Enter
12
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
Browse Files
Cancelof
Press
Enter
13
What services are you interested in?* This field is required
Press
Enter
14
Please upload your INSPIRATION hair.* This field is required
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
Press
Enter
15
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
Press
Enter
16
How did you hear about Salon 705?* This field is required
Press
Enter
17
Click to edit..
Press
Enter
Should be Empty: