Injectors Wanting Injections

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

What treatment/s are you interested in or what areas are you wantint to address?

Chin filler, facial balancing, lower face etc

5

Are you comfortable being seen during a training or shadowing day where Tina will be the one fulfilling your treatment?* This field is required.

Yes

No

6

Are you comfortable with filming or photos being shared online or on social media?* This field is required.

Yes

No

7

Business Name* This field is required.

8

Instagram Handle* This field is required.

9

Facing the camera * This field is required.

10

Looking to the left ( profile ) * This field is required.

11

Looking to the right ( profile ) * This field is required.

12

What Days and Times Are You Generally Available?To help me find a spot that works for both of us, please share a few different days or date ranges when you’re typically available. Which weekdays usually work for you Any preferred dates or windows that fit your schedule

13

Payment InformationIndicate which one you'd prefer or be leaning toward

You bring product and pay an injector fee that'll be dependent on what all we do and ranges from $250- $1000

We can use product from our inventory, you'll cover the cost of the product + the injector fee