Contact Form
Hello There! Please fill this contact form, and we'll get in touch within 2 business days.
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First, Last Name *
Phone # *
Address, City, State, Zip *
Email Address *
Reason for Contacting us *
Please Fill in the Section Below if You would like to Receive a Free Wig
How did you find out about us? *
Is this your first time recieving a Free Wig ? *
If you would like to receive a Free Wig, Please Describe your reason for Hair loss . (ie: alpocia, chemo, medication ect.)  
In a descriptive paragraph, Please tell us a little about your style, and the type of Wig you would like. ( Color, Length, Style) If you have a picture that would be great. email it to wigsbycc@gmail.com 
If you have a picture that would be great. email it to wigsbycc@gmail.com 
Did you see a Wig you would like in the Wig Gallery? If so please put the Wig Item Number and description below.
Additional Questions or Comments? Please ask away. We are here to help.
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