Unisex Salon and Hair Replacement Center
DENSITY DETERMINATION FORM
Please print out below. Then mail, or copy and paste into an email to us at: orders@valshair.com
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1 - Do you like the hair density on the hair system you are sending us, or would
you like to change it?
____ YES, I LIKE IT AND WANT IT TO REMAIN THE SAME
____ I WOULD LIKE IT THICKER
____ I WOULD LIKE IT THINNER
2 - Do you like the color of the piece you’re sending in, or would you like to send
us new hair samples?
____ I LIKE THE COLOR OF THE HAIR SYSTEM AS IT IS
____ I WOULD LIKE TO CHANGE THE COLOR OF THE HAIR SYSTEM
( ____ DARKER ____ LIGHTER ) PLS. EXPLAIN BELOW:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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3 . Do you have gray in your hair? Would you like your hair system to reflect
the same percentage of gray as in your hair now?
____ YES, I DO HAVE GRAY
(A) PLEASE USE THE SAME PERCENTAGE AS IS IN MY OWN HAIR
WHICH IS: _______________________________________
____ NO, I DO NOT HAVE GRAY
4 . SIZING:
____ I LIKE IT AS IT IS
____ I WOULD LIKE TO CHANGE THE SIZE OF THE PIECE:
_____ LARGER _____ SMALLER ____ LONGER ____ SHORTER
EXPLAIN IN DETAIL HERE:
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_________________________________________________________________
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5 . PLEASE CHECK WHICH ONE YOU WOULD LIKE:
____ HUMAN ____ SYNTHETIC
PLEASE MAIL THE ABOVE FORM TO US WITH A DEPOSIT OF $75.00 VIA YOUR
CHECK OR MONEY ORDER, OR CALL US WITH YOUR CREDIT CARD AT:
732-363-4758 from 9am to 9pm Eastern Standard Time
YOUR NAME: ________________________________________________
ADDRESS: __________________________________________________
CITY/STATE/ZIP: ____________________________________________
PHONE #: __________________________________________________