Product Purchase Request Form
The purpose of this form is to provide you the opportunity to pre-request products for purchase at your coming appointment or schedule available product for pick-up. Keep in mind, we may not have everything in stock, however, our front desk staff will contact you for payment and pick up once your requested products are ready. Liter sizes and specialty products not regularly stocked will require a minimum of a weeks notice for ordering.
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First and Last Name
Appointment date or date you wish to pick up your product(s) Pick available Mon. 9-7pm Tues.-Thurs. 9-8pm Fri. &Sat 8-5pm
What is the quantity, brand(s), name(s), and size (ounces)of the product(s) you are requesting.?
Need hand sanitizer for your home, office, or on the go? Fuel Salon and Spa now offers salon brand, non-toxic hand sanitizer. Free of fragrance, triclosan, phthalates, parabens, and dyes. Gentle to the skin and will not leave skin feeling dry. Available in 4 oz bottle or 16 oz size.
I'll take a 4oz bottle
I'll take a 16 oz bottle
No hand sanitizer for me thanks
Product Pick Up Location
Highlands Ranch (9579 S. University Blvd., Ste 400-C, Highlands Ranch, Colorado 80126)
Centennial (8188 South Holly Centennial, Colorado 80122)
I'll pick up my product request from whatever salon has my full order in-stock and available the quickest
I would like my products shipped to me
If you need your products to be shipped directly to you, please add your full address here
Do you need a recommendation of any new products? If so describe your hair, what's been done to it, what your feeling, what type of product(s) you are looking for or what problem you are trying to solve? Or book a virtual consultation
and I'll help you find what you need.
Send me a copy of my responses.
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