Hair Replacements Repair - Mens Human Hair Replacements

Mens Human Hair Repair

Order Form For Hair System (Repairs)
(Print & mail with system)

Name ___________________________________
Date _________________
Address _________________________________
City __________________________ State__________ Zip Code________ Country________
Area Code and Phone Number (____)______________ E-Mail Address__________________________
Contact Name _________________________
Short Description of System sent to Duplicate __________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Hair Type Desired: Synthetic:______________ % Human:______________ %
Style: Please indicate one:

replace mens human hair

Wave Or Curl Pattern: Body Wave___ Slight Wave___ Medium Wave___ Tight Wave___ Medium Curl___ Tight Curl___ Finished Hair Density: Light___ Medium___ Heavy___ Other___________________ Finished Hair Length:________ (Maximum finished length is 7" with no extra charge) Match color to System Yes___ No___ Scotch Tape Large Hair Samples in appropriate boxes.(how to take hair samples)

2
LEFT
TEMPLE
.
.
.

4
BEHIND
LEFT EAR
.
.
.

2
RIGHT
TEMPLE
.
.
.

4
BEHIND
RIGHT EAR
.
.
.

1
FRONT
.
.
.
.

3, 5
TOP
.
.
.
.

6
BACK
.
.
.
.

Special Requests: ________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Repair Cost is $165.00 + $15.00 shipping per unit: Longer lengths, Remy or Russian hair or replace lace front is additional cost -Total $________
Please check one below:
[ ] Visa [ ] MasterCard [ ] Amex [ ] Discover [ ] Check [ ] Money Order
(If CC order) Print Name___________________________________________
Account #: ___________________________________________
Expire Date: _____________________
Card Holder Signature __________________________________
Prepayment is expected with order. Delivery in approximately 4-5 weeks. No refunds
Cindycut Ordering Dept.
1155 W. Pioneer Blvd. Suite 103-133
Mesquite, NV 89027USA
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