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Hair Extensions Intake Form

If you are a new guest looking to get hair extension services done, please fill out the form below. This form will help us to get to know you better as well as to understand your needs when it comes to hair extensions. Please feel free to contact The Eclectic with any questions you may have!

Date
Month
Day
Year
Preferred method of contact
What method of extensions are you interested in?
Are you currently experiencing hair loss/thinning/shedding?
Are you currently on any medications that can induce more hair loss/thinning?
Location

3035 Whitebear Ave. N

Suite 20

Maplewood, MN 55109

Hours

Beauty Department

T: 11 PM to 3 PM

 

Creative Arts Department

F: 8 AM to 3 PM

S: 10 AM to 2 PM

Contact

All art on our website is original art and ideas created by our team member, Tri Vang.

IG @awkward.dweebies

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