Gloss Hair and Makeup Request Form

Gloss Hair and Makeup Request

Please fill out the form to provide information needed for your Hair and Makeup appointment.
Full Name of client who will be receiving services *

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date of client who will be receiving services.

MonthDayYear
Date of Appointment*

MonthDayYear
Date
Time Requested

Hour Minutes

AM/PM Option
Type of Service*

Hair and MakeupMakeup Only
Add on Options

Spray TanBrow Wax and TintBlow OutCustomized Facial
Event Type*
If you are competing in a pageant please list the name of the pageant, and any other details we need here.
Artist Request
How many days do you need hair and makeup for your event?
Any Allergies or Sensitivities that we need to be aware of?
Inspiration Photos

Cancelof
Event Schedule (this is mainly for Pageant clients)

Cancelof
Additional Comments
Please Select One

I would like my Gloss artist to come to me and willing to pay an on location or travel fee!I would be willing to travel to my Gloss artist!I will be at an event where Gloss is providing hair and makeup services!
Signature*

Clear
My Products
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Booking Deposit A booking deposit is required at the time of submitting this form to secure your appointment dates. The remaining balance is due 48 hours before you scheduled appointment. You will receive your appointment time and further instructions the week of your appointment. If you have any further questions or need assistance, please contact us at info@glossbeautybrand.com
$100.00 Quantity

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: