Cindycut Repairs Any Custom Hair Replacement System
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Name ___________________________________

Date _________________

Address _________________________________

City __________________________ State__________ Zip Code________ Country________

Area Code and Phone Number (____)______________ E-Mail Address_______________________

Contact Name _________________________

Short Description of System sent to Duplicate _______________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Hair Type Desired: Synthetic:______________ % Human:______________ %
Style: Please indicate one:

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Wave /Curl Pattern: Body Wave___ Slight Wave___ Medium Wave___ Tight Wave___ Medium Curl___ Tight Curl___

Finished Hair Density: Light___ Medium___ Heavy___ Other___________________

Finished Hair Length:________ (Max. finished length is 6" with no extra charge)

 

Special Requests: ________________________________________________________________________

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Repair Cost is $165.00 + $15.00 shipping per unit: Longer lengths, Remy or Euro hair or replace lace or poly front is additional cost - Stylists call for repair pricing. 1-888-596-4247

Total $________
 Please check one below:
[ ] Visa [ ] Mastercard [ ] Amex [ ] Discover [ ] Check [ ] Money Order

(If CC order) Print Name___________________________________________

Account #: ___________________________________________

Expire Date: _____________________ CVV#: ______________

Card Holder Signature __________________________________
Prepayment is expected with order.  Delivery in aprox. 4-5 weeks. No refunds on repairs

Send repair system to;
Cindycut Ordering Dept.
2370 W HWY 89A
Ste 11-304
Sedona AZ, 86336

Questions? 1-888-596-4247

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