client info form

XEX has upgraded our salon management software to better serve our clients. Please fill out the short form below. Your information will only be used by XEX and will not be shared with others.

You will receive 250 reward points for filling out this form! Details of our new, free reward system will be announced soon.

* fields are required

First Name*

Last Name*

Address*

City*

State*

Zip*

Primary Phone*

Email*

Join XEX email list for deals?* (no spam!)
Yes Please!No Thanks

Your Gender*
MaleFemale

Birthdate

Employer

How Did You Hear About XEX?*

What Services Are You Interested In?* Select all that apply.

We will call you with appointment reminders. Would you like to receive an extra reminder by email or text?*

Thank you!