Credit Card Request Form | Ciro's Hair Pavilion

Secure Your Appointment

IMPORTANT PLEASE READ We do not charge the card at the time you provide your information. The information provided is held in your client file to secure all appointments made at Ciro's Hair Pavilion. We have a 24 hour cancellation policy. You will be notified by text, phone and/or email to confirm your appointment. The only time the card will be charged is if you are a no show for your appointment. At which, 50% of the appointment scheduled will be charged to your card on file. You are not required to use this card to pay at the time of services. Please click here to read our salon policies & information prior to your visit. Thank you for accepting our terms.

First Name

Last Name

Phone

Birthday

Credit Card #

Expiration Date

Security Code

Zip Code

New Clients ONLY -
Please fill out below

Name of Friend/Family Member that referred you

What brand of products do you use?

What made you leave your last stylist?

What expectations do you have for your salon experience?

I agree to the salon policiesView policies here

Thanks for submitting! Your appointment is now secured. See you soon! Please click here to view our updated salon policies, payment/gratuity options and more.

New Clients ONLY - Please fill out below

New Clients ONLY -
Please fill out below