SHOP ONLINE
Kevin Murphy, Alfaparf & Stylecraft
INCOMMON
Davines, VIVISCAL PRO & Color WOW
OLAPLEX
AMIKA
Raindrops
GIFT CARD
Terri Stewart
Store
New Renter Form - Welcome to A la Carte Use
*
Indicates required field
Name
*
First
Last
Business Name (as you want it to appear in-salon)
*
Your Business Phone Number
*
Can your Business Number Receive Texts
*
Yes
No
Your Business Email
*
Social Media Sites {optional}
Your Business Website
*
Your Business Instagram
*
Your Business Facebook Page
*
Your Business Yelp Page
*
Home Address (for internal use only)
*
Line 1
Line 2
City
State
Zip Code
Country
Are you interested in a Salon Email address + {$5/month}
*
Yes
No
I'm a Full Time Leasee, Please Include it Free
I'm a Full Time Leasee, but I am opting out
Your email will be
[email protected]
. It is an additional $5/month fee. Or Free with a Full Time Lease contracts only.
Do you have Professional Insurance?
*
Yes
No
This needs to be on file with us to begin renting days a la carte.
If you do not have insurance, you will need to have it. I can recommend our insurance provider.
Go to
https://www.thehartford.com/
. Tell them Mandy Parrey of Modern Love Salon sent you!
Please have your insurance company provide us with a Certificate as additional insured, made out to; Eric and Mandy Parrey, 2371 Ivy Rd, Oceanside, Ca 92054
*
Yes, I acknowledge and will do immediately
I do not have insurance yet and will do immediately
Your Menu
*
Please include a list of services and your prices for your section on our website. Thank you!
Your Bio
*
Please include a little bit about yourself that you want to see on our website. Thank you.
Submit