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- 139 Fifth Ave., 2nd Fl., New York, NY 10010
  
  ——
  
  56 Westchester Ave., Pound Ridge, NY 10576
  
  212.677.7315
  
  reservations@evascrivo.com

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Hair & Makeup
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Transformations
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Hit space bar to expand submenuAbout

Our Story
eva
Culture

Hit space bar to expand submenuShop

At Home Color Kits
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Cosmetics
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Supplements
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Hit space bar to expand submenuContact

139 Fifth Ave., 2nd Fl., New York, NY 10010
——
56 Westchester Ave., Pound Ridge, NY 10576
212.677.7315
reservations@evascrivo.com

© 2023 evascrivo

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Bridal Information & Reservation Requests

HAIR RESTORATION INFORMATION REQUESTS

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Comments

Location

139 Fifth Ave, NYC
56 Westchester Ave, Pound Ridge

First Time Customer? *

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First Name *

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Gender

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Age Range

20 – 29

30 – 39

40 – 49

50 – 59

60+

Are you currently treating hair loss? *

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How long have you been experiencing hair loss? *

Less than 6 months

6 months to 1 year

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Have you treated hair loss in the past? *

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Have you used Propecia? *

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Present

Never

Have you used Rogain? *

Past

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Is hair loss common in your family *

Yes

No

Not sure

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First Name *

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Zipcode *

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First Time Customer? *

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No

Wedding Date *

Setting of Ceremony

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Location of Ceremony

Time of Ceremony

Time of Ceremony

Time of Ceremony

Time of Ceremony

Photographer Start Time

Photographer Start Time

Photographer Start Time

Photographer Start Time

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Time of Reception

Time of Reception

Time of Reception

Time of Reception

Requested Time of Completion *

Requested Time of Completion *

Requested Time of Completion *

Requested Time of Completion *

Where would you like to have your services on the day of your wedding?

139 Fifth Avenue, NYC

56 - 60 Westchester Avenue, Pound Ridge, NY

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What bridal services are you interested in? *

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Flowergirl

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Hair Other

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If you select Bridesmaids or Additional/Other, please use the box provided to let us know how many additional people there will be for each selection.

If you select Bridesmaids or Additional/Other, please use the box provided to let us know how many additional people there will be for each selection.

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139 Fifth Ave, 2nd FL,
New York, NY 10010

—

56 Westchester Ave.
Pound Ridge, NY 10576

—

212.677.7315

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