Contact Us

Address:

APOLLO HAIR INTERNATIONAL
33 Rickard Rd,
Bankstown 2200
NSW Australia

Email : rodney@apollohair.com.au

Please call for an obligation-free phone consultation.

Contact: 02 9707 1400

International: +61 2 9707 1400

Or, fill out the form below and we will contact you.

 

Your Hair Loss Evaluation:

1. Your Age:  
2. Gender:    
3. Your natural hair colour is? Black / Dark Brown Med Brown Grey
  Light Brown / Blonde / Red    
3. Which best describes the texture of your hair? Straight Curly Wavy
4. What is the texture of your hair? Fine Thick Medium
5. Click on the image that matches your hair loss condition when your hair is wet.
 
 
 
 
 
 
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Your Hair Loss Evaluation:
Note: This form and any reply to it does not take the place of an actual in person consultation. It is merely intended to provide us with an initial idea of your condition and goals. With this information we can then give you an informed reply.
Items marked with ' * ' are required.
* First Name:
* Last Name:
Check here if you do NOT want any information mailed to your Street address.
Street Address Line 1:
Street Address Line 2:
* City:
* State/Province:
* Post Code/Zip:
*Day Phone
Evening Phone
* Email Address:
I prefer to be contacted by: Email Phone Either