ALL NEW CLIENTS MUST COMPLETE THE FORM BELOW AND SOMEONE WILL GET IN CONTACT WITH YOU WITHIN 24 HOURS TO GET YOU SCHEDULED. YOU CAN ALSO CALL THE SALON AT 225-265-6068 OR EMAIL US AT INFO@WILMAGROS.COM

New Client Registration Form

First Name *

Last Name *

Address *

Address 2

City *

State/Province *

Zip/Postal Code *

Phone *

Email Address *

What would you like to schedule *

Preferred way to contact *

Phone

Email

Relaxer	Color	Silk Press
Hair Replacement	Shampoo/Style	Other