Interested?
______________________________

Please fill out the form below and select a day/time for us to provide you with more details.

Share with Others and Make More $
______________________________

We are looking for more people to participate so please consider sharing this opportunity with others. If you refer a family member or friend, we will pay you a finder's fee of $50 per qualified female who finishes the study. Just share this link: https://links.maneinsights.com/ExtScalpHealth

First Name *

Last Name *

Email *

Phone *

Date of birth *

City

State

Ethnicity/Heritage (you must choose at least one) *

African

Asian

European

Hispanic

By providing my phone number, I agree to receive text message reminders and information about the Hair Extension study.

How did you find out about the study? *

Interested?______________________________

Share with Others and Make More $______________________________

Interested?
______________________________

Share with Others and Make More $
______________________________