FURICH -Toupee. China

Buyer Name :

Unit Price :$

A confirmation will be mailed to you upon receipt of this order.

Quantity Ordered :

Tel:86-532-83875870  Fax;86-532-83865870 E-mail:furich@126.com

Delivery  &By air& By sea

Add: B-916,Mansion Yuyuan,NO.75,Road West Hongkong,Qingdao. CHINA

Remark :

Shop Name :

Date :

Stylist :

Account # :

Street  :

Reference :

City :_______Country_______________Zip__________________

Tel No.:

1. Hair:       Human Hair  (               )%, Synthetic Hair (              )%.

                         Hair Length: 5" (          ), 6" (          ), 7" (          )Other Length (          ) " 

2. Size:

Standard Size (5"x8")(51/2"x 81/2")(6"x8")(6"x 9")(7"x 9")(8"x10"),Duplicate Sample(   ), Acc.to template (   ), Other Size(   ).

Full Fashion Wig (      ):           

Front to Back _________ inches,
Side to Side   _________ inches,
               (Ear to Ear)
Around Size  _________ inches.

3. Model:___________________,Custom Duplication (      )   Return Used Hairpiece (      )

4. Hair direction, parting: 

Left Crown

Right Crown

Center Crown

Left Part

Right Part

Center Part

Pompadour Freestyle

Left comb over  Right comb over

5. Hair Curl: 

Straight(   )

 Slight Wave 30mm(   ) 

Standard 25mm(   ) 

Tight Wave 20mm(   ) 

Loose Curl 15mm(   )

Tight Curl 10mm(   ) 

6. Hair Density:

Heavy 150% (    ), Medium Heavy 120% (    ), Medium 100% (    ),Medium Light 80% (    ), Light 60 % (    ). 

7. Hair Color:

All of same colors (        ), Each of different colors (      ), Gray Hair (         ) % *Our gray hair is syntheti(recommend).

       Description:_________________________   Please attach your hair samples here

1

2

3

4

5

6

Gray _____%

Gray _____% Gray _____% Gray _____% Gray _____% Gray _____%

8. Front Hair Line:

Underknotting (     ), Baby Hair (     ), Lace Front (    ), Scallop Front (     ).

9.PaymentDescription:_________________________________________________________________

10. Special Remark:

Signature: