

Undetectable Wigz Order Form (For Fax & Mail Only)
Undetectable Wigz
3700 Northfield Rd. #18
Highland Hills, OH 44122
1-877-736-9944 / 1-877-REMY-WIG
Fax: (216) 732-3088
Name: ________________________________
Date: ____/____/_______
Address: ________________________________
Phone: ________________________________
Measurements
Circumference of head: _____
From forehead to nape of neck: _____
Ear to ear across forehead: _____
Ear to ear over top of head: _____
Temple to temple around back of the head: _____
Nape: _____
Specifications
Wig Cap Type:___________________________
Lace Type: ______________________________
Lace color:______________________________
Hair texture: _____________________________
Hair length: _____________________________
Hair density: _____________________________
Baby hair : Yes ____ No_____
Hair color number: __________
Highlights: (color #) __________/__________ (location)____________ (%)_________
Wig style: Available pictures of the wig style:__________
Quantity:________
Accessories ___________________________
Accessories ___________________________
Accessories ___________________________
Accessories ___________________________
Subtotal: __________
Sales Tax: __________
Total: __________
Payment Method: Credit Card Type ___________ Money Order ______ Check______
Credit Card #_________________________________ 3-digit code______
Thank you for your business!