Cindycut International Inc.

Discount Custom Order Form

First- Print this form using your browser Print function, then fill it out by hand to mail to us!

Be sure to check out "Included Features and Options"

If you need help filling out the order form, click here or on the numbers below, or if your prefer to use our factory order form go here.

order online hairpiece

Personal Information

Date:_________________

1.

Name:___________________________________________

Mailing Address:_____________________________________________

City: _____________________ State: _______ Zip Code: ________________ Country: ______

Reference (who this system is for):________________________________________

2.

Telephone: ___________________________ E Mail Address: _________________________

Hair Information

Order Hair Systems

3. System Type

[ ] This System will be for daily or extended wear (usually but not always) for a man.

[ ] Put a replaceable lace front on this System, or
[ ] Put a front scallop on this System, or
[ ] Put a smooth front hairline with underventing

[ ] This System will be an extended wear Integration for a woman.

Order Hairpiece

4. Hair Type

Synthetic:______________ % Human:______________ %

5. Size

[ ] Tape Template enclosed, or

[ ] Side to side:______________ inches. Front to back:______________ inches.

6. Part/Style: Check one-

[ ] Left part [ ] Center part [ ] Right part [ ] Multi-directional

7. Color- Please take large samples, see help page.
Attach hair samples here with tape. Detailed Information on Color

8. Curl: Check one-   Pictures Of Curl Types

[ ] Straight (no body) -human or synthetic

[ ] Slight Wave (light body wave) 30 mm -human or synthetic

[ ] Standard (medium wave) 25 mm -human or synthetic

[ ] Tight Wave 20mm-human or synthetic

[ ] Loose Curl 15mm -human or synthetic

[ ] Tight Curl 10mm (human or synthetic)

[ ] Afro 2-6 mm -(synthetic only)

9. Universal Density:

[ ] Extra Light (60%) [ ] Light (80%) [ ] Light to Med. (90%)

[ ] Medium (100%) [ ] Medium to Heavy (120%) [ ] Heavy (150%)

10. Notes or Special Requests

Length of system- grey Percentage, etc. ________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

For Questions Call: 1-888-596-HAIR(4247) or E Mail us.

Order hairpiece

Ordering Information

1.___________How many Systems on this order?

2. $548.00____System Price

3.$__________Total of line 1 x line 2

4.$__________Longer length charges (see #10 on Help page)

5.$__________Shipping ($15.00 per system- other items may require additional postage)

6.$__________Sub-total-add lines 3 + 4 + 5

7.$___________ Tape tabs (5 pkgs./$20. ) How many total __________

(Frontal) A . Brown Liner [_] B.Red Tack [_] C. White liner [_]

(Rolls) D. Brown Liner [_] E.Red Tack [_] F. White Liner [_]

8._____________'Cindycut Lacestik' Lace Tape (5 pkgs./$20.)-frontal tabs -How many?_____

______________________________List additional items & prices here-
Example:Bohyme Remy Hair or Russian European Hair

______________________________If you need additional space list on back of paper

$____________Total 6 + 7 + 8

$_-100.00_____Subtract if this is a system reorder within one year

$____________Total amount due

Type of Payment enclosed: Full payment is required at the time order
is placed unless other arrangements have been made.

Please check one below:

[ ] Visa [ ] Mastercard [ ] Amex [ ] Discover [ ] Check [ ] Money Order

(If CC order) Print Name___________________________________________

Account #: ___________________________________________

Expire Date: _____________________  CVV#: _____________

Card Holder Signature __________________________________
No refund on custom orders. Expect Delivery in approximately 6-8 weeks.
Remember to attach sample(s) of your hair , and include Tape Template or
old System for size, along with the order form and payment, and mail to:
Cindycut International, Inc.
1-888-596-HAIR (4247)
1155 W. Pioneer Blvd.
Suite 103-133
Mesquite, NV  89027
Thank you for your order

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