Center Registration

Center Title*

Street Addreess*

Country*
Please SelectAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedonia (FYROM)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweCuraçaoBritish Antarctic TerritoryCanton and Enderbury IslandsDronning Maud LandEast GermanyFrench Southern TerritoriesJohnston IslandMetropolitan FranceMidway IslandsNeutral ZoneNorth VietnamPacific Islands Trust TerritoryPanama Canal ZonePeople's Democratic Republic of YemenSerbia and MontenegroUnited States Miscellaneous Pacific IslandsUnion of Soviet Socialist RepublicsWake Island

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Email*

Website

Phone*

Device*
Please SelectAERO FlowAH 100AT7CT8CT9EDNA OneEDNA PlusEDNA Pro MaxElite NSEQUUSHairwaveONAPremium NSRGNK-Laser Blue DermaK-Laser Cube 4K-Laser Cuber 4 VetK-Laser Cube Perfomance 30K-Laser Cube Plus 30K-Laser Speciale Plus VetK-Laser Speciale VetPharma Ceuticals BoostersCeuticals Dermo-regenReversoOther

Serial Number*

Your serial number is on the back of your device. It is made up as follows: 2 numbers, 1 letter and 6 numbers.
For REVERSO devices the serial number is made up of: 2 letters, 6 numbers and 2 letters.
For Equus devices the serial number is made up of: 2 numbers, 2 letters and 6 numbers.

Practice Type
Beauty & WellnessCompanion Animal VetDermatologyEquine VetGynecology (Obs/Gyn)K-Laser MedK-Laser VetPelvic HealthPlastic SurgeryPodiatryRehab & Physiotherapy

Services
Anti-AgingBody ContouringBody RejuvenationCellulite ReductionCompanion Animal VetDermato-Functional (Rehab)DermatologyEquine VetFacial RejuvenationGynecoaestheticsHair TreatmentsPelvic HealthPlastic SurgeryPodiatryPre & Post SurgeryRehabilitationSkin TighteningSports PhysiotherapyWellness Treatments