P17 Extension Application

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

We are super excited to hear about YOUR Specific Hair Goals, and WHY You Want to Experience Hair Extensions.

That's why we have a couple quick questions for you to help me assess the current state of your hair, which ultimately helps us determine if extensions 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 that has you ready for extensions and a Consultation with me - and why now?* This field is required.This is a chance for you to tell us a little more about The WHY behind your desire to sit in our salon and experience Mane Luxe, so take a few moments to think through and complete this question.
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Large
Normal
Small
Ok
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 Us 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.

Although this step is not required, it will greatly help us prepare for your consultation by allowing us get an idea of your current hair and to be able to determine if you are suitable for hair extensions at this time and what will be needed before your consulatation.
17
Upload Your FRONT Shot:
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
Upload Your BACK Shot:
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
19
Upload Your Desired Look / Inspirational Photo:
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
20
Extension Pricing Information

Thanks for taking an interest in Hair Extensions.

Right now we only offer services out of our salon, Parlour 17 located in Cupertino, Ca.

FIRST TIME GUESTS

Most first time clients can expect to invest $1,500* to $3,000* for us to work together getting you the hair of your dreams.

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

RETURNING GUESTS

For our returning Extension Clients you can expect the following:

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

Replace the 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 $400 - $600*

*All pricing subject to change. Prices are based on length and amount of hair needed to achieve your desired result and will be calculated at your consultation.
21
{fname}, having full knowledge of the financial commitments to obtain and maintain your Hair Extensions, are you prepared to make the financial investment necessary to Sit In My Chair and Get the Parlour 17 Experience?* This field is required.
YES! I Can't Wait to Sit In Your Chair and Experience Parlour 17!
No. I am not ready to experience having the hair of my dreams.
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