HairPieceToupee

Order Form

All information is strictly confidential. None of your information is given or sold to anyone else.

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free style
left part
right part
center part
real pompadour
Afro style


left crown
right crown
center crown
left comb over
right comb over

Hair Hair Length
Fine human remy hair
Human hair
Euro-touch +$70
Brazilian-touch +$300
Synthetic hair		 4" (10 cm) 5" (13 cm) 6" (15 cm) 7" (18 cm)
Special Hair Length
EXTRA CHARGE 8"-10"   $65 | 11"-12"  $107 | 13"-16"  $146
Wave or Curl
  Permanent Treatment .... Wave or Curl stays in, will not wash out.
  Temporary Treatment .... Wave or Curl does not stay, washes out.
  No Treatment

Knotting Instructions
Natural frontal hairline
Base covering hairline		 Density

Light (60%)
Medium Light (80%)
Medium (100%)
Medium Heavy (115%)
Heavy (150%)		 Under Knot

Front only
Entire perimeter
None
Natural part or crown
Hidden part or crown		 Baby Hair

Yes      No

Color Front Top Crown Temple Side Back
Additional Gray % % % % % %
Additional Highlight % % % % % %

Special Instructions
Send your head template and hair sample to:
Gentshair
8345 NW 66th St. #5422
Miami, FL 33166

USA

Press the "Continue" button to send your order to the factory. We will contact you by email and confirm your information.

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