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Custom Order Form

Order Lace Hair Replacements 

First- Print this form using your browser Print function, then fill it out by hand to mail to us!

Be sure to check out "Included Features and Options"

If you need help filling out the order form, click here or on the numbers below!


Personal Information

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Date:_________________

1.

Name:___________________________________________

Mailing Address:_____________________________________________

City: _____________________ State: _______ Zip Code: ________________ Country: ______

Reference (who this system is for):________________________________________

2.

Telephone: ___________________________ E Mail Address: _________________________


Hair Information

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3. System Type

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[ ] This System will be for daily or extended wear (usually but not always) for a man.

[ ] Put a replaceable lace front on this System, or
[ ] Put a front scallop on this System, or
[ ] Put a smooth front hairline with underventing

[ ] This hair piece order will be an extended wear Integration for a woman.

4. Hair Type

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Synthetic:______________ % Human:______________ %

5. Size

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[ ] Tape Template enclosed, or

[ ] Side to side:______________ inches. Front to back:______________ inches.

NOTE: If you want to use an extended wear method of attachment, (bonding, cable weaving) please measure 1/4 inch to 1/2 inch into your hairline on sides and back so the human hair piece order will be large enough to attach to your hair.
If you can send us an old hair piece for order that fits, we will copy the size and send it back with your new human hair system.

6. Part/Style: Check one-

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[ ] Left part [ ] Center part [ ] Right part [ ] Multi-directional

7. Color- Please take large samples, see help page.
Attach hair samples here with tape. Detailed Information on Color

8. Curl: Check one-

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[ ] Straight (no body) -human or synthetic

[ ] Slight Wave (light body wave) 30 mm -human or synthetic

[ ] Standard (medium wave) 25 mm -human or synthetic

[ ] Tight Wave 20mm-human or synthetic

[ ] Loose Curl 15mm -human or synthetic

[ ] Tight Curl 10mm (human or synthetic)

[ ] Afro 2-6 mm -(synthetic only)

9. Universal Density:

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[ ] Extra Light (60%) [ ] Light (80%) [ ] Light to Med. (90%)

[ ] Medium (100%) [ ] Medium to Heavy (120%) [ ] Heavy (150%)

10. Notes or Special Requests

Length of custom wig, grey Percentage, remy hair, replaceable lace front etc. ________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

For Questions Call: 1-888-596-HAIR(4247) or .

Ordering Information

1.___________How many Systems on this order?

2. $499.00____System Price

3.$__________Total of line 1 x line 2

4.$__________Longer length charges (see #10 on Help page)

5.$__________Shipping ($15.00 per system- other items may require additional postage)

6.$__________Sub-total-add lines 3 + 4 + 5

7.$___________ Tape tabs (5 pkgs./$20. ) How many total __________

(Frontal) A . Brown Liner [_] B.Red Tack [_] C. White liner [_]

(Rolls) D. Brown Liner [_] E.Red Tack [_] F. White Liner [_]

8._____________'Cindycut Lacestik' Lace Tape (5 pkgs./$20.)-frontal tabs -How many?_____

______________________________List additional items &prices here- Example:Bohyme Remy Hair or Russian European Hair

______________________________If you need additional space list on back of paper

$____________Total 6 + 7 + 8

$_-100.00_____Subtract if this is a system reorder within one year

$____________Total amount due

Type of Payment enclosed: Full payment is required at the time order is placed unless other arrangements have been made.

Please check one below:

[ ] Visa [ ] Mastercard [ ] Amex [ ] Discover [ ] Check [ ] Money Order

(If CC order) Print Name___________________________________________

Account #: ___________________________________________

Expire Date: _____________________ CVV# _______________

Card Holder Signature __________________________________

Expect Delivery in aprox. 6-8 weeks. Thank you for your order
Remember to attach sample(s) of your hair , and include Tape Template or old hair peice
,  if any, along with the order form and payment, and mail to:
No refunds to
order custom wig or
hair peice.

Cindycut Inc. Ordering Dept.
1155 W. Pioneer Blvd. Suite 103-133
Mesquite, NV 89027  USA

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