MELISSA DALLEY’S Cancellation List

Name

First Name

Last Name

Phone Number

(###)

###

####

Best way to reach you?

Call / Text

Referred By

If you are a new client, we'd love to know who referred you to us so we can thank them!

What service are you looking to have done?

Please be specific. (ex: Half Head of Balayage Highlights and a Cut) Please indicate if you have short or long hair, or if you have extra thick or curly hair or require any conditioning treatments. The more information we have, the easier it will be for us to find you an appointment.

Would you like to be added to the Cancellation List for the other Dime stylists as well?

Yes

Please enter the date range in which you are hoping to be booked.

You will only be on the cancellation list for the dates provided. From this date

YYYY

To this date:

YYYY

Anything else we should know?

Please be specific. Out of town for a few days next month? Only availble on Tuesday or Friday mornings? Let us know. The more information we have, the easier it will be for us to find you an appointment.

This form does not guarantee you an appointment, we encourage you to book the next available appointment in our online booking system so that you can secure a time that works for you. We will be in touch if something opens up during your requested date range.

I Understand

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