You may reach us via email at info@amsdesigns.com or by phone at 1-800-YOUR LOOK. Our address is: President’s Plaza 1, 8600 West Bryn Mawr Ave., Chicago, IL 60631.
Please register with AMS Designs by filling out the form below.
The information will help us serve you better.
* indicates a required field
* Name:
* Home Address:
Business Address:
* Home Phone:
Business Phone:
Fax:
* Email:
* Age:
18-25
46-55
26-35
56-65
36-45
65+
* Sex:
male
female
Birthday:
Interests:
reading
skiing
chess
golf
cards
tennis
television
baseball
biking
basketball
boating
hockey
sailing
football
roller skating
soccer
roller blading
vacationing
swimming
gardening
crafts
hiking
music
weight training
dancing
mountain climbing
fine dining
other
How did you find out about our web site?:
When did your hair loss become a concern for you?:
How often do you visit the stylist?:
Are you interested in non-surgical, topical or surgical treatment?:
non-surgical
surgical
topical
Have you done anything in regard to your hair loss before?:
