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CK Hair Solutions

You know what a big difference a nice head of hair makes!
Please take a few minutes to explore our website. We sell quality
hair systems, plus all of the supplies you need.

I think you'll be pleasantly surprised by our prices and products.
Thanks for stopping by and please send me an email if
you have any questions.
Claudia

PERSONAL INFORMATION

Date:_________________

1. Name ____________________________________________________

2. Street ____________________________________________________

City ________________________ State _____ Zip _______________

3. Phone (_____) _______________ Email _________________________

HAIR INFORMATION

3. System Type

[ ] Make this a full lace system, or
[ ] Put a replaceable lace front on this System, or
[ ] Put a front scallop on this System, or
[ ] Put a smooth front hairline with underventing

4. Hair Type Synthetic: ______________ % Human: ______________ %

5. Size

[ ] Tape template, or previous hair system enclosed, or

If you can, send us an old system that fits, we will copy the size and send it back with your new hair system.

[ ] Side to side:______________ inches. Front to back: ______________ inches.

6. Part/Style: Please check one -

7. Color - Please take large samples. Attach hair samples here with tape.

	2 LEFT TEMPLE . . .	2 RIGHT TEMPLE . .
6 BACK	4 BEHIND LEFT EAR	4 BEHIND RIGHT EAR
1 FRONT .	3, 5 TOP

8. Curl

[ ] Straight (no body) - 40 mm - human or synthetic
[ ] Soft Movement - 30 mm - human or synthetic
[ ] Light Wave - 25 mm - human or synthetic
[ ] Medium Wave - 22 mm - human or synthetic
[ ] Loose Curl - Strong Wave - 15 mm - human or synthetic
[ ] Tight Curl - 10 mm - human or synthetic
[ ] Loose Afro - 8 mm - human or synthetic
[ ] Afro - 2-6 mm - synthetic only

9. Universal Density:

[ ] Extra Light [ ] Light [ ] Medium Light
[ ] Medium (100%) [ ] Medium Heavy [ ] Heavy [ ] Extra Heavy

10. Further Instructions (Extra Length, Base Type, Venting, etc.)
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PAYMENT INFORMATION

1.    __________    How many Systems in this order?
2.    $_________    Custom System Price
3.    $_________    Total of line 1, times line 2
4.    $_________    Longer length charge
5.    $_________    Shipping - $8.00
6.    $_________    Subtotal - add lines 3 + 4 + 5
7.    $_________    List additional items and total price here - Example: Oversize Base,
                              CK Hair Solutions repair, supplies, etc.
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     (If you need additional space, please use the back of this form.)

8. $_________ Add lines 6 + 7
9. $_________ Total amount due

Thank you for your order!

Remember!
Attach sample(s) of your hair and include a tape template or old hair system, if any, along with this form and
payment and mail to:

CK Hair Solutions
3602 S Peninsula Dr., Ste 202
Port Orange, FL 32127