Laser Facial Membership Request Form

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For example: Alma Clearlift, Laser Genesis
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Bonus Guidlines: Choose a low downtime ablative treatment that prepares the skin well for IPL. If you have any kind of laser peel (microlaser peel, coolpeel, spectra laser peel etc) - this is our top recommendation.

If you do not have a laser peel, we recommend a Facial/Super-Facial (like Oxygeneo or Hydrafacial) paired with derma-planing (if available).

The total value of the bonus should be $250-$500

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Any additional perks members get. We recommend keeping this SIMPLE ie. members enjoy 10% off all other products and services. If none, leave this field blank.
Please let us know if there are any special notes or requests you have. If none, leave this field blank.

Membership Payment: We strongly encourage you to use our payment system because it removes all friction and makes purchasing a membership easy, and integrates with our systems seamlessly. If you have a separate system, please provide details.

Leave blank if using our stripe integration