Register - Purlés

Username*
First name*
Last name*
- Adres do faktury
- Phone*
- Street*
- Postal / Zip*
- City*
- Ship to a different address?
Scan of the diploma
Attach a scan of the diploma certifying cosmetic education (if you do not have a tax identification number)
E-mail*
Password*
Repeat password*
Do you have your beauty salon, spa or clinic?*
- Yes
- No
The name of the SPA or the Beauty Salon
NIP
Phone
WWW
Currently used product brands of prof.
Are you already our client?*
- Yes
- No
I declare that I am familiar with the Terms and conditions and Privacy policy and that I accept all resolutions included. I also accept the fact that the controller of data is Proconcept Labs sp. z o. o. with its office in Michałowice (address: Polna 24, 05-816 Michałowice).*
- I agree
I agree to have my personal data processed for marketing and commercial purposes related to services and products offered by Proconcept Labs sp. z o.o. and entities cooperating with them for the purpose of direct marketing. Providing personal data is voluntary.
- I agree
I agree to receive marketing and commercial information from Proconcept Labs sp. z o.o. through telecommunication terminal equipment and through means of electronic communication (i.e. via email, SMS, MMS). If you want to be up to date with our products, services, special offers, contests and ventures, please give your voluntary consent to receive such information. The consent may be withdrawn at any time.
- I agree
reCAPTCHA*

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