WHOLESALE / PROFESSIONAL

Spa Name * Contact * Title * Address * City * State * Zip * Email * Phone Number * Website * How many treatment room(s) do you have: How many employees do you have? How many clients do you have (or are you targeting)? What is your target segment? How did you first hear about Biodroga? If you are currently using Biodroga, what products do you carry? If you are not using Biodroga, what other lines are you currently using? Additional Comments