iLight IPL Pro

iLight IPL Pro and LED Pro deposit form
Contact Name*

First NameLast Name
Phone Number*
Email Address*
example@example.com
Shipping Address and business information
Business Name (For sales invoice)*
Name of contact that will coordinate delivery and training*

First NameLast Name
Phone Number for coordinating delivery and training*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Closest Airport to Office
Please let us know who had an impact in your decision to purchase your device/s:
Enter a percentage beside each name to equal a total of 100%*
How do you plan on paying for your device(s)*
Payment is due 3 s
How soon do you want the machine(s) delivered*
Anything else you would like to share with us
Payment by Credit Card or Paypal

Deposit*

iLight IPL Pro + RF Deposit

This deposit will hold your iLight IPL device and will be put towards your total price. Must bring in device in 2023 for savings.

$500.00 Quantity

iLight LED Pro

This deposit will hold your iLight LED Pro device and will be put towards your total price. LED Pro Includes both a head of pure red light and a head with 4 colors (blue, yellow, red, infrared). Must bring in device in 2023 for savings.

$500.00 Quantity

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Should be Empty:

iLight IPL Pro and LED Pro deposit form

Please let us know who had an impact in your decision to purchase your device/s:

Payment Methods