Appointment Request

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**This is an appointment Request ONLY. Once this form has been received we will contact you within 48 hours to confirm a date and time. For a more prompt response please feel free to call the salon at (407)542-0645

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Name: *

E-mail address: *

Telephone/fax: *

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I want to to get my hair lighter

I want to go darker

Blowdry

Hair Extensions

Keratin/ Botox Treatment

Haircut/Trim

Preferred Dates: *

Preferred Times: *

How did you hear about us? *

Is this your first visit? *

Stylist Preferred? *

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