TALK ABOUT

Name *

First Name

Last Name

Phone *

(###)

###

####

Which services are you interested in? *

(SELECT ALL THAT APPLY)

Color

Extensions

Haircut

Keratin

Preferred Date

PLEASE SELECT YOUR FIRST CHOICE ON THE CALENDAR — ADD OTHER AVAILABLE DATES BELOW. (CLOSED SUN-MON)

MM

DD

YYYY

What are you hoping to achieve with extensions? *

(EXTENSION CLIENTS ONLY, SELECT ALL THAT APPLY)

Thickness

Length

Dimension

Not applicable

Have you had extensions in the past? *

(EXTENSION CLIENTS ONLY)

Yes

No

Not applicable

Are you willing to commit to the maintenance appointments? 6-8 weeks *

(EXTENSION CLIENTS ONLY)

YES

NO