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Basic Information
First Name
Email
Business Name
Last Name
Phone
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Website
Street Address
Apartment, Suite, etc.
City
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Postal / Zip code
Country
Country
Professional Verification
License Type
*
Esthetician
Medical Professional (RN / NP / PA)
Dermatologist (MD / DO)
Cosmetologist
Student (Esthetics Program)
Other
License Number (if applicable)
State of Licensure
Upload License or Student Enrollment Verification
Upload File
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Business Information (optional)
Business Type
*
Solo Esthetician
Spa
Med Spa
Salon
Boutique (Retail / Skincare Studio)
School / Academy
Dermatology Office
Educator / Trainer
Multi-location Business
Other
Intended Use
How do you plan to use Skin Wand Pro?
*
Obligatorio
In-treatment use
Retail to clients
Both
Purchase Timeline
When are you planning to purchase?
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Within 30 days
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Referral
How did you hear about Skin Wand Pro?
Agreement
I confirm I am a licensed professional or currently enrolled in an accredited esthetics program and understand professional-use restrictions.
I I understand that Skin Wand Pro 0.25 mm and 0.5 mm tips are intended for professional use only and require proper licensure and training.to the terms & conditions
I agree not to resell Skin Wand Pro products on unauthorized third-party marketplaces.
I agree to receive text updates about my account, training, and promotions.
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