Order Form - Hairpiece-toupee.com

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

Executive Style
System A	(All polyskin)	Quantity
System B	(French lace front)	Quantity
	(Fine welded mono front)	Quantity
System C	(Super thin circumference)	Quantity
Note:	French Lace material is soft, thin and fragile.
	Fine welded mono is slightly thicker and stronger.

Invisible System

Quantity with French lace front.

Quantity with fine welded mono lace front.

Note:
French Lace material is soft, thin and fragile.
Fine welded mono is slightly thicker and stronger.

Extra Lace Front ($50 each)

T-MAX
System A	Fine welded mono base with French lace front	Quantity
System B	100% French lace	Quantity
	100% Fine welded mono	Quantity
Note:	French Lace material is soft, thin and fragile.
	Fine welded mono is slightly thicker and stronger.

Base Color	Black
Clear	Brown
Flesh	Light Reddish Brown
Pink	Yellow
Match color sample (send 2" x 2" color example)

Base Color	Black
Clear - no guaze	Brown
Flesh - no guaze	Light Reddish Brown
Flesh - with guaze	Yellow
Flesh - welded mono NPU with gauze
Match color sample (send 2" x 2" color example)


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

Special Instructions

Send your hairpiece for duplication to:
Robert Glen - SKI 8345 NW 66th St. #5422 Miami, FL 33166-2626 USA Phone: 305-406-1696
Preferred Method of Payment
Credit Card (VISA, MasterCard, JCB, American Express, Discover/Nova) Personal Check (To: Robert Glen - SKI) Bank Check/Money Order (To: Robert Glen - SKI) Bank Wire Transfer (SKI bank information will be sent to you.)
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Press the "Continue" button below to send your order to the factory. We will contact you by email and confirm your information.