Please do not email this form.
Click here to contact Diamond Hair Extensions
Our representitive will make arrangements to collect it.

Diamond Hair Extensions Client Application Form Please print out this form and fill it in, or type in your details then print it out. In either case it must be signed by hand.
Customer Name:
Salon Name:
Business Name:		(If different from above)
Credit Card Type:	Visa:      Mastercard:      Bankcard:
Card Number:
Name As On Card:
Expires:	/  Month/Year  xx/xx
I hereby authorise Diamond Hair Extensions to charge my Credit Card for hair and equipment purchased by the above salon untill further notice. Charges to be made only when my customer number has been checked and as goods are dispatched from your office.
Authorised Signature:	(Please sign in ink.)
Print Name:
Date of application:	Day/Month/Year
Position in Business:
E-Mail Address:

(office Use Only)

Sales Representitive:
Date:	Day/Month/Year

  

Please do not email this form.
Click here to contact Diamond Hair Extensions
Our representitive will make arrangements to collect it.

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