Username *
Last name *
First name *
Email address *
Password *
Confirm password *
Do you provide or want to provide oxygen therapy? * Yes – I am interested in oxygen therapy services No – I only want the professional discount
Salon name *
Salon full address (Country, City, Address) *
Salon website
Phone number *
Your profession/field * Select... Investor Hairdresser Dermatologist Beautician Trichologist Other beauty qualification Other (non-beauty qualification)
Notes
Which service are you interested in? * Oxygeni Head Spa Rituals (with circular jet massage) Oxygeni Classic Hair Wash Head Spa Oxygeni trichology treatment Oxygeni cosmetic treatment
Are you interested as a hairdresser or as a salon? * Select... As an individual partner (I would provide the service alone in the salon) As a salon (two or more of us would provide the therapy)
Why are you applying? * Select... I want to introduce the service(s) Only the training interests me; I would not introduce the service
How long have you worked in this field? Select... Less than 1 year 2-5 years More than 5 years
Do you have any prior knowledge? Select... It is completely new to me I have some basic knowledge I have looked into it but have no practical experience I have both theoretical knowledge and practical experience
Planned introduction location
Planned introduction date
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