New Therapist/Spa/Salon Application 
Thank you for considering becoming a Dr. Hauschka Esthetician

Our very diverse treatments are adapted to respect each and every skin condition, guided by the art of touch and gentle yet effective lymphatic stimulation.  

Kindly complete the form below. Please remember to click "submit" at the bottom of the page when you are done.
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Email *
Salon/Therapist name *
Registered Company Name (if applicable)
Company Registration (if applicable) *
Vat # (if applicable)
Registered address (if applicable)
Physical address (If different to the above) *
Contact number *
Website (if applicable )
Person responsible for accounts *
Email address and contact number for Accounts *
Which of our Brands are you interested in stocking? *
Required
Should you have selected Dr. Hauschka, please indicate which capsule you are interested in carrying. *
Required
Please select the applicable business module *
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Please tell us where you did your training as a therapist? *
Which year did you graduate your training? *
Which courses did you qualify in specifically? ITEC, Massage Therapy only, Facial Training, Mani Pedi only, etc.  *
Which other skincare brands do you currently use in treatment?  *
Which other skincare brands do you currently sell in your salon/spa? *
Please provide us with your current social media platform handles (Facebook, Instagram, ect) *
Please refer to our Terms and Conditions for more detail as well as our Training Costs and Trolley Start-Up costings and options.

CBD payment status applies to all new client accounts. 

Kindly note that no finished product nor product imagery will be sent before full application process is completed.
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