Free Wig Installation Application

This application is designed for women experiencing hair loss due to alopecia or cancer. Through our Women's Empowerment Program, we offer complimentary professional wig installations, providing a supportive and uplifting experience to help restore confidence and enhance beauty.

👉 Please note: Participants must bring their own wig. If you need guidance on choosing the right wig, we are happy to provide recommendations.

First name

Phone

Do you have alopecia or cancer-related hair loss?

Yes

What type of hair loss do you have?

Do you own a wig or need recommendations?

I already own a wig

I need a recommendation for a wig from Dream Styles Beauty

Preferred Appointment Date

Select your preferred appointment date

Would you be comfortable sharing your transformation story?

Yes

This may include testimonials, before-and-after photos, or video content

Consent for Before & After Photos?

Yes

Do you give permission for before & after photos to be shared on social media or promotional materials?

How would receiving this free wig installation benefit you? (This helps us understand how we can best support you!

How Did You Hear About Us?