Your Name_____________________________________________ Date________________

Street Address_______________________________________________________________

City ________________State/Province/Country__________Zip Code_______________

Telephone (____)_________________ E-Mail______________________________________

Notice: If you are ordering a lace front hair replacement or wig, a special "Lace Front" tape is required and you must use "Lace Front" tape solvent to detach the tape from the lace. The lace or the hair knotting could be damaged if the "Lace Front" tape is not removed properly.

Cap Size (Toupees): To check your hairpiece size, measure across the top of your head from front-to-back (starting at 3 inches (76 mm) above your eyebrow) and then from right-to-left (at your temples) for the area to be covered (The area to be covered should include about 1/2 inch (12 mm) of your own hair unless you are using comb clips to attach the cap. When using comb clips as an attachment, the cap should cover at least 1 inch (25 mm) of your own hair). The average cap will measure 6 x 9 inch or 7 x 10 inch. If you own a hairpiece now, turn the cap inside out and measure the cap front-to-back and side-to-side for the correct size.

Cap Size (Full Wigs): Three measurements are required for a full wig:
1. Circumference of the head (Usually between 20 and 22 inches for men).
2. Ear to ear over the top of the head.
3. Front to back over the top of the head (This measurement is from 3 inches above the eyebrow to the nape of the neck).

Hair color: Most stock hair replacements are available in more than 35 to 58 barber tested colors some with percentages of grey. In order to accurately match your hair color, I will need your hair color sample. Proceed as follows:
Shampoo and dry your hair. Cut a generous hair sample from each temple and place the clipping in separately marked envelopes. Do the same for samples from behind each ear and another sample from the back. Be sure to place each sample in a separate envelope and mark the envelopes Right temple, Left temple, Right ear and Left ear, and back. Please include your home telephone number above as I may have to call about the order.

Name of hairpiece ordered:________________________________________________

Price per Unit_________Quantity_____Cap Size_________Color__________________

Hair fiber: If you are ordering a stock unit listed on the Internet, the hair fiber is specified in the description.

All models shown on the Internet are available for 5 day delivery when in stock.

Method of Payment: Please make checks and bank money orders payable to American Hair Concepts. PayPal payment to my e-mail address accepted also. Do Not Send Cash or Stamps.
Personal checks must clear before shipping.

Postage USD $5.70 each order mailed to USA address.
Michigan residents add 6% Sales Tax. Total enclosed........................$US________________

Mail Order Form to:
Troy Marketing
4351 Cherrywood Drive
Troy, MI 48098-4280

Tel: 248 854-2141
E-Mail: tomrogers48098@msn.com