pr model form

photo according rights

Confirm this document gives permission to post images of results due to skin improvements, we appreciate the cooperation.

* Please enter Full Name
* Please enter Phone
* Please enter DOB
* Please enter Photos posting approve
* Please enter Email address
Please enter first treatment day
Please enter Please specify the treatment area
* Please enter Products purchased detail
Please enter Smoking yes / no
* Please enter Treatment Start ..
Please enter Any surgeries

PR MODEL RELEASE

Signature of this document gives permission to post images of results due to skin improvements, we appreciate the cooperation