Order Form For Hair System Repairs
(Print & mail with hairsystem)
 
Name ___________________________________
Date _________________
Address _________________________________
City __________________________ State__________ Zip Code________ Country________
Area Code and Phone Number (____)______________ E-Mail Address________________________
Contact Name _________________________
Short Description of human hair piece for repairs _____________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Hair Type Desired: Synthetic Wig:______________ % Human Hair Piece:______________ %
Style: Please indicate one:

hair repair replace lace

Wave Or Curl Pattern: (examples) 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)

 

Head Map
2
LEFT
TEMPLE
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4
BEHIND
LEFT EAR
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2
RIGHT
TEMPLE
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.
.
 4
BEHIND
RIGHT EAR
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.
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1
FRONT
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3, 5
TOP
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6
BACK
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.

Special Requests: _____________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________

Hair Piece Repairs Cost is $150.00 + $10.00 shipping per Custom Human Hair System: Total $________
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. 4-5 weeks. No refunds
Cindycut Inc. Ordering Dept.
1155 W. Pioneer Blvd. Suite 103-133
Mesquite, NV 89027  USA

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