Order Form

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


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Address 1*
Address 2
City*
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Email*
Phone Number


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
Remy hair
Human hair
Euro-touch +$70
Brazilian-touch +$100
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
Special Hair Length (specify length)
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 (or old unit) to the address below:

Gentshair
8345 NW 66th St. #5422
Miami, FL 33195-2696
USA

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Hair Replacement System and Hair Pieces

Hi Robert,

I have been a client of Gent's Place for about 8 years. The following summarizes my experience: Service has always been courteous, friendly, and prompt. Unit's base and hair are made with top grade materials and the workmanship is excellent. Prices are most reasonable around the world while still maintaining quality. I give Gent's Place my best recommendation.