New Clients | Defiant

First Name

Email

Last Name

Phone

Which hair extension package are you interested in? Please include lenght in description. If you are unsure we can discuss leduring your consultation.

Please provide a brief history of your previous hair extension services as well as why you are interested in hair extensions. Please note if there has been any trauma, medication side effects, questions/concerns, and if you are currently wearing hair extensions.

Now that you've gotten to know me, lets talk about you...