Appointment Request Form
A Do or Dye Salon and Day Spa 
114 South Main Street, Suite 205 
Mount Airy, MD 21771
(301) 829-4120 
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Client Name  *
First name,  Last name  
Phone Number  *
Please note: we will call to confirm details before booking 
Email
Are you a new or returning client? *
Stylist Preference 
Preferred Time of Day *
Preferred Date  *
Please note that the salon is closed on Sundays and Mondays
MM
/
DD
Second Preferred Date 
MM
/
DD
Desired Service(s) *
Tell us a bit about what you're looking for!
Notes
Let us know any additional information or questions you have!
Submit
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