Product Order Form

E.A. Wells Hair Design

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E.a. Wells Product Order Form:

Order Option: *

Curbside Pickup Shipping

Order Information:

Name *

First

Last

Phone Number *

Email *

If you are placing a SHIPPING ORDER, please fill out your address below so that we can calculate shipping costs.

Address *

Line 1

Line 2

City

State

Zip Code

Country

If you are placing a CURBSIDE PICKUP ORDER, please list your pickup DATE & TIME preference.

Desired Pickup Date & Time: *

Vehicle description: *

Please Select the products that you would like to order. Once your order is submitted, we will send you an email with an order total and if applicable, shipping calculation. You will be able to edit your order before a final invoice is sent. All invoices must be paid before shipment.

Is something sold out? Add it to the cart and we will order it for you. Don't see what you need? Let us know in the comments section.

Holiday Gift Sets *

R+Co Wild Horses Holiday Travel Set R+Co One Way Ticket Holiday 5-piece Travel Set Olaplex Holiday Hair Treat Set Green Envee Skin Hero Kit R+Co Blowout Trio & Gift Card R+Co Smoothing Trio & Gift Card R+Co Color Trio & Gift Card Brazilian Blowout Anti-Frizz Duo Pack Green Envee Clear Skin Kit R+Co Deluxe Minis Volume Kit BaByliss Blowdryer & 3 Blowouts Package WetBrush Curling/Flat Iron & Brush Set

Please Select the Holiday Gift Sets of Choice. Don't see something? Ask in the comments section below.

Wash Kits *

R+Co Atlantis Hydrating Duo R+Co Bel Air Smoothing Duo R+Co Dallas Biotin Duo R+Co Cassette Curl Duo R+Co Gemstone Color Duo R+Co Super Garden CBD Duo R+CoTelevision Perfect Hair Duo Brazilian Blowout Anti-Frizz Duo Maria Nila Sheer Silver Blonde Duo Olaplex Wash Duo R+Co Royal Treatment Scalp Kit R+Co Daily Embrace Kids Cowash BBA Men's Thickening Liters Wash Duo

Select which wash kit you would like to purchase. Duos include Shampoo and Conditioner. Want to purchase individually? Ask in the comments section below.

R+CO (Full Size) *

Park Ave Blowout Balm Chiffon Styling Mousse Rodeo Star Thickening Styling Foam Spiritualized Dry Shampoo Mist Badlands Dry Shampoo Paste Death Valley Dry Shampoo Aerosol Skyline Dry Shampoo Powder Zig Zag Root Teasing + Texture Spray One Prep Spray Pinstripe Intense Detangling Spray Dallas Thickening Spray Mood Swing Straightening Spray Dreamhouse Cold Pressed Watermelon Wave Spray Rockaway Salt Spray Two-Way Mirror Smoothing Oil Centerpiece All-in-one Elixir Spray Grid Structural Hold Setting Spray Foil Frizz Static Control Spray Moon Landing Anti-Humidity Spray Balloon Dry Volume Spray Neon Lights Dry Oil Spray Sail Soft Wave Spray Trophy Shine & Texture Spray Outer Space Flexible Hairspray Vicious Strong Hold Flexible Hairspray Aircraft Pomade Mousse Sun Catcher Power C Boosting Leave-in Conditioner High Dive Moisture + Shine Creme Waterfall Moisture + Shine Lotion Turntable Curl Defining Creme Twister Curl Primer Jackpot Styling Creme (SOLD OUT) Motorcycle Flexible Gel Mannequin Styling Paste Freeway Defining Spray Gel Wall Street Strong Hold Gel Continental Glossing Wax Sand Castle Dry Texture Creme Control Flexible Paste Mannequin Styling Paste Sunset Blvd Blonde Toning Masque Television Perfect Hair Masque Acid Wash Apple Cider Vinegar Cleansing Rinse Crown Scalp Scrub Palm Springs Pre-Shampoo Treatment Mask Cactus Texturizing Shampoo Dart Pomade Stick Analog Cleansing Foam Conditioner

Please select the R+Co products you wish to purchase.

R+Co Deluxe Minis (3 for $15) *

CROWN Scalp Scrub WATERFALL Shine & Moisture Creme SAND CASTLE Texture Paste RODEO STAR Thickening Foam OUTER SPACE Flexible Hair Spray DEATH VALLEY Dry Shampoo BALLOON Volume Spray SUN CATCHER Leave-in Conditioner

All Deluxe Minis are 3 for $15.

R+Co Travel Sizes *

DEATH VALLEY Dry Shampoo SPIRITUALIZED Dry Shampoo Mist BALLOON Dry Volume Spray NEON LIGHTS Dry Oil Spray PARK AVE Blowout Balm OUTER SPACE Flexible Hairspray VICIOUS Strong Hold Hairspray ANALOG Cleansing Foam Conditioner AIRCRAFT Pomade Mousse CENTERPIECE all-in-one Elixir CHIFFON Styling Mousse RODEO STAR Thickening Styling Foam DALLAS Thickening Spray HIGH DIVE Moisture + Shine Creme WATERFALL Moisture + Shine Lotion MOON LANDING Anti-Humidity Spray SAIL Soft Wave Spray TROPHY Shine + Texture Spray ATLANTIS Moisture Shampoo ATLANTIS Moisture Condtioner BEL AIR Smoothing Shampoo BEL AIR Smoothing Conditioner TELEVISION Perfect Hair Shampoo TELEVISION Perfect Hair Conditioner DALLAS Thickening Shampoo DALLAS Thickening Conditioner GEMSTONE Color Protecting Shampoo GEMSTONE Color Protecting Conditioner

All Travel Sizes are 2 for $25.

GREAT STOCKING STUFFERS!

R+Co Root Coverage Sprays *

Light Blonde Dark Blonde Light Brown Medium Brown Dark Brown Black Red

If you have questions on matching your color, please let us know.

Olaplex *

Olaplex No. 0 - Treatment (use with No.3 for best results) Olaplex No. 3 - Hair Perfector Masque (3.3 oz) Olaplex No. 3 - Hair Perfector Masque (8.5 oz) Olaplex No. 4 - Bond Maintenance Shampoo Olaplex No. 5 - Bond Maintenance Conditioner Olaplex No. 6 - Bond Smoother Olaplex No. 7 - Bonding Repair Oil Olaplex Holiday Hair Treat Set (No.3 & No.6) Olaplex No.0 & No.3 Duo (at home Olaplex treatment) Olaplex Wash Kit (Shampoo & Conditioner)

Please select the Olaplex Products you wish to purchase.

British barber's association *

Thickening Shampoo Stimulating Conditioner Defining Gel Moulding Creme Texturizing Clay Finishing Pomade Thickening Shampoo Liter Stimulating Conditioner Liter

Please select the British Barber's Association Products you with to purchase.

Great stocking stuffers!

Salt & Stone *

30 SPF Body Stick 50 SPF Tinted Face Stick 50 SPF Lotion 30 SPF Lip Balm

Please select the Salt & Stone Products you wish to purchase.

Green Envee *

Skin Hero Kit Microfiber Cleansing Facial Puff Lip Balm - Rehydrate Lip Balm - Voluptuous Lip Balm - Citrus Bliss Lip Balm - Calm Body Wash (travel) - Relax (SOLD OUT) Body Wash (travel) - Stress Remedy (SOLD OUT) Body Lotion (travel) - Relax Body Lotion (travel) - Stress Remedy ReLeaf Rx Muscle Cream Clarify Cleansing Gel Illuminate Enzyme Cleansing Powder Purify Botanic Cleansing Oil Soothe Herbal Cleansing Cream Balance Charcoal Moisturizer Nourish Replenishing Moisturizer Protect Antioxidant Moisturizer Bright Facial Mist Hydrate Facial Mist Pumpkin Glycolic Peel 3% Refine Polishing Facial Scrub Rejuvenate Brightening Peel Clear Complexion Healing Masque Firm Collagen Gel Masque Potent C Superfood Masque Restore Hydration Masque Clear Oil Control Serum Flora Elixir Botanic Oil Serum Glow C+ Brightening Serum H.A. Collagen Boosting Serum Renew Eye Complex Revitalize Eye Gel Clear Skin Kit Anti-Aging Skin Kit Floraessence After Peel Kit Hydrating Skin Kit Perfecting Skin Kit Pumpkin Peel Kit Brighten Skin Kit

Please select the Green Envee Products you wish to purchase.

Organethic Pure Care (Curbside pickup only) *

Active Thinning Hair Treatment System Energizing Thinning Hair Treatment System Volumzing Shampoo Volumizing Conditioner Hydrating Shampoo Hydrating Conditioner Energizing Shampoo Silk Shampoo Silk Conditioner Beauty Shampoo Beauty Conditioner Sun Repair Shampoo Sun Repair Conditioner Man Care Daily Shampoo Man Care Daily Conditioner Curl Booster Hydrating Shiny Spray Soft Hair Spray Strong Hair Spray Fixing Travel Spray Silk Potion Cream Fiber Paste Light Beauty Potion Oil Beauty 10 Secrets Volumizing Foam Detoxifying Lotion Sun Repair Protective Spray

Select which Organethic Pure Care Products you would like for Curbside Pickup. If you would like a larger quantity, please notify us in the comment section below.

Liters *

Silk Shampoo Liter Silk Conditioner Liter Beauty Shampoo Liter Beauty Conditioner Liter Volumizing Shampoo Liter Volumizing Conditioner Liter Energizing Shampoo Liter Hydrating Shampoo Liter Hydrating Conditioner Liter

*Please Note: Organethic Pure Care is NOT available for shipping. Curbside Pickup ONLY.

GREAT STOCKING STUFFERS!

Tools & Accessories *

Disney WetBrush - Elsa (SOLD OUT) Disney WetBrush - Olaf Disney WetBrush - Anna (SOLD OUT) Wetbrush Pro Epic Detangler - Black Wetbrush Pro Epic Detangler- Rose Gold Wetbrush Pro Comb WetBrush Vent Flex Dry WetBrush Flat/Curling Iron & Brush Set BaByliss Blowdryer Green Envee Microfiber Facial Cleansing Puff Olivia Garden Round Brush (34) Olivia Garden Round Brush (44) Olivia Garden Round Brush (54) Olivia Garden Round Brush (64) Olivia Garden Round Brush (82) (SOLD OUT)

Facial Packages: Buy 2, Get 1 FREE (equal or lesser value)

Facial Services *

30-Minute Signature Maskne Facial 60-Minute Deluxe Signature Maskne Facial 30-Minute Signature Wellness Facial 60-Minute Deluxe Signature Wellness Facial Pumpkin Enzyme Peel (Treatment Only) Pumpkin Enzyme Peel (Deluxe with Facial) Power Peptide Floraessance Peel (Treatment Only) Power Peptide Floraessance Peel (Deluxe with Facial) "Man"tenance Express Facial "Man"tenance Deluxe Facial

If you are purchasing multiples of the same service, please list here: *

Waxing Packages: Buy 2, Get 1 FREE (equal or lesser value)

Waxing Services: *

Precision Eyebrow Wax Precision Eyebrow Tweeze Middle Brow Wax Upper Lip Wax Cheek Wax Chin Wax Sideburn Wax Neck Wax Full Face Wax

If you are purchasing multiples of the same service, please list here: *

Gift Cards: *

Please list the amount and quantity. If purchasing a Gift Card & Product Set, please let us know.

Other products not listed *

Don't see what you are looking for? Let us know!

Questions or Inquiries *

If you have any questions please let us know. We will be more than happy to answer them. For an immediate response, please call (919) 787-7797.

PROMO CODE: *

Place Order

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