Address - Line 1:
Address - Line 2:
Postal, or Zip Code:
(self-employed, proprietorship, partnership, corporation, if other - specify)
(Own, Lease, Manage;
if other - specify)
How long have you been in business?
Name of owner(s):
NOTE: If you choose
, you will be asked to complete and return a credit application, which will be sent to you. Until approved, pre-payment will be required.
QUESTION 01: Have you sold, or are you selling, any massage devices/machines? Which ones?
QUESTION 02: If a teacher/practitioner/school, what classes/techniques? Also, number of students/clients per year?
Your questions / comments: