Thank you for your interest in the Omni product line. Fill out the form below and you’ll receive an email confirmation of approval within 2 business days.
If you need immediate service call 1-888-578-3335.

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• Username*
• First Name*
• Last Name*
• E-mail*
• Company Information* Please tell us a little about your company or practice and what kind of procedures and/or lasers you use and/or perform.
• Practicing License #
• Practicing License
  Please enter or upload your current medical/aesthetic license.
• Resale Cerificate #
• Resale Cerificate
  Please enter or upload your resale certificate number to be tax exempt.
• How did you hear about us?*
• Password*

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