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WHOLESALE PRICES
PROFESSIONALS' DISCOUNT APPLICATION

Medical doctors and hospitals may buy at wholesale prices.  To access the wholesale price list and benefit from very important discounts, we need to receive the application shown below.

USA applications are quickly validated during our business hours, 9AM - 7PM Eastern Standard Time (EST), Monday through Friday. Applications submitted outside these business hours might be placed on hold until the following business day.

* Required fields
Name *
E-mail Address *
Business Name
Contact Person (if different than above).
second email
Activity (laser hair removal, permanent makeup, etc) *
Are you licensed? (include state)
Website address (http://www. ... )
Address *
City *
State *
Zip *
Country *
Business Telephone *
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Lidocaina.NET
6671 W.Indiantown Rd. Ste 50-150
Jupiter, FL 33458
Tel. (561) 247-0755