Hair By Mail - New System Order Form

Hair By Mail
New System Order Form

50% deposit needed, No Exceptions

Mail your order to:

1366 NE 163rd Street Suite #200
North Miami Beach, Florida 33162

Call Toll Free - 877-886-9045

Name___________________________________
Date_________________
Address_________________________________
City__________________________ State__________ Zip Code________ Country____________
Area Code and Phone Number (____)______________ E-Mail Address___________________________
Wearers Name or Initials_____________
Short Description of System sent to Duplicate ___________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Hair Type Desired: Human Hair___ Synthetic Fiber___
Style: Please indicate one:

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 5" 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: ________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

Quantity Ordered               _____    Additional charge for longer finished lengths.

Charges double for Oversize Systems and Full Wigs. There will be an additional charge added

for extra heavy density and Oversize Systems and Full Wigs

Price of First System Ordered

249.99 Add 30.00 Ea. for 6" to 7" Finished Length

Second System

199.99         
____    Add $40.00 Ea. for 8" to 10" Finished Length

Additional Charges           
____    Add $50.00 Ea. for 11" to 12" Finished Length

Miscellaneous Supplies       
____    Add $70.00 Ea. for 13" to 14" Finished Length

Total System Charge          
____    Add $90.00 Ea. for 15" to 16" Finished Length

                                        Add $50.00 Ea. for 28 day rush delivery


Please include 
16.40 for UPS-Ground shipping.  UPS 2 Day Air and Overnight shipping is additional.
Hair Replacements. Credit cards will be charged 50% at the time of the order and the balance when the order is shipped.-----------------------------------------------------------------------------
To Pay By Credit Card - Visa____  MasterCard____  Amex____  Discover____  Call Me____
Exact Name on Card__________________________
Number____________________________  Expiration _______ Verification Code _____
Signature_________________________    Date__________________