New Renter A La Carte Only

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 *

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} *

Do you have Professional Insurance? *

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 *

Your Menu *

Your Bio *

Submit