OUT OF COUNTRY WAITLIST
Hey! My name is Dori and I have been studying cellular beauty and working 1:1 with clients for ~3 years, have put in over 5,000 hours of research, and I am licensed USTI® Trichology Hair Loss Specialist and American Medical Certification Association Hair Loss Specialist Certified

I am here to find the solution to your hair problems, but unfortunately, the products I recommend are only available in the countries specified below:
- Australia
- Canada
- France
- Ireland
- Lithuania
- New Zealand
- Poland
- Spain
- United Kingdom
- United States

As you know, the products are all naturally-based, vegan, cruelty-free, and clinically backed by the University of Miami Miller School of Medicine. The best part is they are specifically tailored to your hair and scalp needs and your own personal hair goals!  

Recommending products that I do not use goes against my personal ethics code and as a creator. The products I recommend are unlike any other, especially how they are formulated. They are all naturally-based, vegan, cruelty-free, and clinically backed by the University of Miami Miller School of Medicine.

But what we can do is put you on my waitlist so when they do become available you'll be the first to know!

PLEASE leave your correct contact information so I can be in touch when the time comes. Submitting this form assumes you give me permission to reach out to you in the future. 

Thank you for understanding. I can't wait to help you!


Dori
© DORIAN MARIE LLC

Sign in to Google to save your progress. Learn more
FIRST NAME *
LAST NAME *
WHAT COUNTRY ARE YOU IN? *
ARE YOU 18+ YEARS OLD? (you must be 18+ to be my VIP client) *
HOW DID YOU FIND ME? *
EMAIL ADDRESS YOU CHECK REGULARLY (not your spam email from high school lol) *
CELL / WHATSAPP NUMBER *
INSTAGRAM @ *
TIKTOK @ *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report