Hair By Mail
Order Form For Hair System (Repairs)
50% deposit needed, No Exceptions
Mail your order to: Hair By Mail,
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 __________________________________________
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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)
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LEFT TEMPLE . . . |
BEHIND LEFT EAR . . . |
RIGHT TEMPLE . . . |
BEHIND RIGHT EAR . . . |
FRONT . . . . |
TOP . . . . |
BACK . . . . |
Special Requests: ________________________________________________________________________
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Quantity Ordered _____ Additional charge for longer finished lengths.
Major (like new) Repair Charges double for Oversize Systems and Full wigs
209.00 $______ Add 15.00 Ea. for 6" to 7" Finished Length
Minor (almost new) Repair $99.00 $______ Add $40.00 Ea. for 8" to 10" Finished Length
Additional Charges $______ Add $50.00 Ea. for 11" to 12" Finished Length16.40 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______ Verificaion Code ______
Signature_________________________ Date__________________