Order Form

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

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Select Product*

Name*
Address 1*
Address 2
City*
State/Province*
Zip Code*
Country*
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
Fine human remy hair
Human hair
Synthetic hair
4" (10 cm) 5" (13 cm) 6" (15 cm) 7" (18 cm)
Special Hair Length
EXTRA CHARGE
8"-10"   $30 | 11"-12"  $70 | 13"-16"  $105
Afro 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 hairpiece for duplication to:
Gent's Place
8345 NW 66th St. #5422
Miami, FL 33166-2626
USA

Preferred Method of Payment
Credit Card (VISA, MasterCard, JCB, American Express, Discover/Nova)
Personal Check (To: Gent's Place)
Bank Check/Money Order (To: Gent's Place)
Bank Wire Transfer

Please enter the four digit number. This is used to help us prevent spam and automated order form submissions.*

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