Making a Provisional Booking

 

Please complete the form shown below.

First Name

Second Name

Title      Mr. Ms. Mrs. Dr. Other

Telephone

Mobile Telephone

Service Required      Ladies Cut and Blow Dry Gents Cut Blow Dry Childs Cut Foil Highlights Colouring Permanent Waving Hair Extensions

Salon      Carluke Edinburgh Lanark Rutherglen Wishaw PopinjayHotel

Date

Time      09:00 am 09:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 am 12:30 pm 1:00 pm 2:00 pm 2:30 pm 3:00 pm 3:30 pm 4:00 pm 4:30 pm 5:00 pm 5:30 pm

Any other comments

= Required