Tester Request Form - Digital Hand R Cosmetic Tattoo Device
At Kausmeditech, we understand that investing in a new device is a big decision, and purchasing without firsthand experience can feel daunting. That’s why we offer you the opportunity to test our devices before committing to a purchase. This trial allows you to see, touch, and experience the device in your own workspace, ensuring it meets your needs and expectations. Our goal is to help you make the right decision and feel confident and happy with your choice. We believe in empowering therapists to make informed decisions about their investment.
Cost Information
The trial cost reflects a commitment to an informed purchase, ensuring the opportunity is available to those genuinely interested in experiencing the device's value. This fee covers necessary expenses, such as shipping, insurance, and consumables, and is fully refundable upon purchase or feedback submission. It’s not a barrier but a step towards helping you choose confidently and wisely.The cost to test a Digital Hand NW Skin needling device is $297 and payment is required on Page of this form before we can process your payment. * This fee includes use of the tester for up to a week after receiving it, 1 x needle cartridge, all related admin work, 2 x postage with extra cover for loss/damage during transit (for the tester to be sent to you and back to us) * The fee also includes quality check and maintenance of the tester to ensure it is sent out in its top working condition. * If you purchase the device within one week of the trial, we will provide a full refund your trial costs. * If you do not purchase the device within one week of the trial, you can submit the feedback form within one week of the trial for a full refund of your trial costs.
Do you wish to request a tester?
Yes, I accept this cost and wish to proceed. - please fill out this form and provide the information we need to arrange your device to be assessed and repaired.
No, I do not accept this cost and no longer wish to proceed. - sorry we are not able to assist further.
Clinic Details
Clinic name - Please include the branch location
Clinic phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Clinic address - If your clinic/salon is located in a large shopping mall, please include which level the clinic/salon is located and any other reference to prevent the parcel being delivered to another clinic in the centre.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Primary Contact Details
Please provide the details of the main contact person for the clinic.
Name
First Name
Last Name
Role/position in the clinic
Phone number
-
Area Code
Phone Number
Email
example@example.com
Secondary Contact Details
Please provide details of the person we can reach out to if the primary contact person cannot be reached.
Name
First Name
Last Name
Role/position in the clinic
Phone number
-
Area Code
Phone Number
Email
example@example.com
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Duration of the Tester Use
When do you need the tester for?
-
Month
-
Day
Year
Date
We will arrange the tester to be delivered to you 1~2 days before the requested date and you should arrange it to be returned to us within 1 week from your receipt. Do you agree to this?
Yes.
No, I do not agree and no longer wish to request a loan device.
If for any reason you need to keep the tester a couple of days longer, please seek approval for extended use and we may grant permission without additional charge. Do you agree to this?
Yes.
No, I do not agree and no longer wish to request a loan device.
If you are not able to return the tester within this timeframe, you must let us know as soon as possible. Do you agree to this?
Yes.
No, I do not agree and no longer wish to request a loan device.
If the tester is not lodged at the post office on the 7th day from receipt without any prior consent for extended use, additional rental fee of $11 per day will be charged to the card used for payment. Do you agree to this?
Yes.
No, I do not agree and no longer wish to request a loan device.
If the tester is not returned to us without valid justification for 4 weeks from the date the repaired clinic device is delivered to the clinic, you will be charged the full cost of the device to the card used for payment. Do you agree to this?
Yes.
No, I do not agree and no longer wish to request a loan device.
If the tester is lost while it is in your care, you must notify us as soon as possible and you will be charged the full cost of the device to the card provided for payment. Do you agree to this?
Yes.
No, I do not agree and no longer wish to request a loan device.
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Returning the Tester
Please pack the tester in the prepaid Australia Post satchel sent with the tester and kindly lodge the parcel at the post office. Please obtain a proof of lodgement and email it to service@kausmeditech.com.au. Do you agree?
Yes.
No, I do not agree and no longer wish to request a loan device.
If the parcel cannot be tracked at all for any reason and you have NOT provided the proof of lodgement, we will not be able to make any claims to Australia Post should the parcel go missing during transit. In this case, you will be held fully responsible for the loss of the loan device and charged the full cost of the device to the card provided for payment. Do you agree?
Yes.
No, I do not agree and I no longer wish to request a loan device.
The tester must be returned in the same condition in which it was received. If the device is damaged or any parts are missing on return, you will be responsible for the associated repair or replacement costs, which will be charged to the card provided for payment. Do you agree to this?
Yes.
No, I do not agree and no longer wish to request a loan device.
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Payment
Payment is required before we can process your request.
You acknowledge and agree to us retaining your payment information to charge your payment card in the circumstances disclosed in this form.
Yes.
No, I do not agree and no longer wish to proceed.
Please choose the relevant fee/s and enter your card details for payment.
*
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Device Assessment Fee
$143.00 AUD
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143.00
AUD
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Loan Device Provision Fee
$198.00 AUD
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198.00
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Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
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Expiration Month
Expiration Year
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