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L'IMAGE heads

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Enquiries

Simply answer the questions below, please fill out as much information as you can. Melissa values your time & will endeavour to respond within 24 hours.

Enquiries

Simply answer the questions below, please fill out as much information as you can. Melissa values your time & will endeavour to respond within 24 hours.

Name*
Email*
Phone*
Subject of Enquiry*
How did you hear about us?
Who recommended Hair With Melissa to you?
Message / Enquiry*

Formal Hairstyling Enquiry

Simply answer the questions below, please fill out as much information as you can. Melissa values your time & will endeavour to respond within 24 hours.

Event Date:*
NOTE: School Formal Bookings are held at Melissa's Hair Salon in Southport
Name*
First Last
Email address*
Phone*
Type of Event*
Please select the exact event you are requiring services for.
Where will you be getting ready?*
Street Address Address Line 2 City State

*School Formal Bookings are held at Melissa's Hair Salon in Southport, please put Hair With Melissa Salon below. If exact address is not yet known, please let us know the suburb or the general area of the event
Time to be ready?*

: Hours

Minutes

AM/PM

Please advise what time you will need hairstyling/makeup completed by on the day.
What time does your event start?*

: Hours

Minutes

AM/PM
Please Select below what services you are after:*
- Hairstyling Only
- Hair and Makeup
# of people for hairstyling?*
# of people for makeup?*
Describe your hairstyle / makeup that you / others are after:
Please Select below to describe what style you are after:*
- Downstyle
- Upstyle
- Glam waves
- Hair extensions application
- I am a curly girl
- I would like to wear my natural curls in a formal style
- I would like to straighten my natural curls for my formal style
- Boho braided up style
Formal hair / Makeup reference pictures*
Drop files here or

Max. file size: 64 MB.
Please upload a picture of your hair*
Drop files here or

Max. file size: 64 MB.
Where did you hear about us?*
Who recommended Hair With Melissa to you?