FHOS Map Request

Name of the owner of the beauty center or medical-aesthetic clinic *

First

Last

Owner's mobile phone number (WhatsApp) *

This phone number will not appear on the website; we request it to resolve any issues with the customer. Please do not use the phone number of commercial representatives because if it appears repeatedly in the database, it will end up being deleted along with the rest of this application.

Email *

This email address will not appear on the FHOS website.

Name of the beauty center or medical-aesthetic clinic *

Address of the beauty center or medical-aesthetic clinic *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone number of the beauty center or medical-aesthetic clinic *

WhatsApp of the beauty center or medical-aesthetic clinic

If it’s the same as the owner’s, please enter it again because this phone number will be published on the map.

or policy beauty

Name of your sales representative *

Serial number of the FHOS PROCYON *

You will find it on the back of the equipment.

DIN number of the FHOS PROCYON *

You will find it on the back of the equipment.

Photo of the label with the serial number and DIN number *

Click or drag a file to this area to upload.

Take a photo of the back of the equipment where the serial number and DIN number are visible and attach it here as proof of ownership.

Above is an example of a valid photo for validation.

I authorize my data to be processed by Grupo DRV Phytolab, S.L. in accordance with their data protection policy (https://drv.es) for marketing and communication purposes and with the ultimate aim of publishing my data on the map of the https://fhos.es page to promote my center or clinic on that page. *

I accept and authorize

You can read more about our data protection policy here: https://drv.es/politica-de-privacidad/

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FHOS Map Request