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Make Appointment with Us
Your Name *
Gender *
Male
Female
Age Group *
5 or below
6 - 10
11 - 15
16 - 20
21 - 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
51 - 55
56 - 60
61 - 65
66 - 70
71 or above
Contact No. *
Email
Preferred Outlet *
-- Select Outlet --
Bandar Bukit Tinggi, Klang
Berjaya Times Square, KL
Carrefour Bukit Rimau, Selangor
Carrefour Midvalley, KL
Carrefour Puchong Utama, Selangor
Carrefour Sec 23, Selangor
Damansara Utama, PJ
Dataran Pahlawan Megamall, Melaka
Giant Seri Kembangan, Selangor
Jusco Wangsa Maju, Kuala Lumpur
Melaka Raya, Melaka
Queensbay Mall, Penang
Taipan USJ, Subang Jaya
Tesco Bukit Indah, JB
Tesco Bukit Mertajam, Penang
Tesco Mutiara Damansara, PJ
Tesco, Penang
Tesco Rawang, Selangor
Tesco Sg. Petani Selatan, Kedah
The Mines, Selangor
Preferred Promo
-- Select Promo (optional) --
Promo 1
Promo 2
Remarks
describe your hair problem
How Do You Know Us *
-- Select Source --
Billboard
Flyers
Friends
Internet Search
Magazine
Newspaper
NTV7
Roadshow
SMS
Website
* Customer below 21 years old must be accompanied by their parents during their visit and consultation.
* For booking appointment, 3 days in advance required.