NEW CLIENT FORMPlease fill out this form if you are interested in becoming a new client at NMHVIR. Name * First Name Last Name Email * Phone * (###) ### #### How long is your hair currently? * Medium Length (Just Past Shoulders) Long Length (Mid Chest) Extra Long Length (At or Past Waist) How thick is your hair? * Thin/Fine Medium/Average Thick/Coarse Do you currently have extensions? * Yes No Do you require grey coverage? * Yes No Have you ever had permanent color or box dye on your hair in the last 5 years? * Box Dye Permanent Color No When was your last color service? * Add a brief description of your current hair color and hair history of at least the last 3 years. * Additional comments. Thank you for taking the time to fill out a new client form and showing interest in becoming a client at NMHVIR!You should receive a response within 24 - 48 hours after the time of your submission!