Client Name
Email  Address
Desired Date
Desired Time
We require a $25 non-refundable fee to confirm your appointment. Cancellations at least 24 hours in advance can apply the fee to a future appointment.  Cancellations not within 24 hours forfeit the fee. 
Name On Card
Card Number
Expiration Date
Zip Code
Your appointment will be confirmed within 24 hours, after process of payment.  All online requests are confirmed by email or text, so be sure to include a working email address or mobile number when completing the form.  
Referred By
Hair Choice
Synthetic Hair Type
3 Digit Security Code
Hair Color
Mobile Number  
Synthetic Hair (Included With Service)
Human Hair (Client Must Provide)
Wed 10:00amThu 9:00amThu 3:30pmFri 9:00amFri 3:30pmSat 8:30am