Registration Business Name(Required)Your Position:(Required) Owner Manager Other Full Name(Required)Your Email(Required) Your Phone (not public)Business Phone (that you want public)Website Instagram Facebook Page Youtube Page How do you do business?(Required)Select OptionIn clinicMobileA mix of in clinic and mobileWe ship productsOtherHow many service addresses do you have?Select Option12345678910+Business Address (if multiple pick a main location)(Required) Address City State Zip Code About the Business(Required)Tell us about your business. This will be used for your network profile.Please describe your service areaIE the names of the areas that you cover. (EX: West Michigan isn’t a city or an official area but it the overall area name people are familiar with that describes our service area). What year did your lice business open?20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950How do you treat lice?(Required) Comb outs Chemical based treatment Dehydration or heat-based treatment Cold Air based treatment Other Please describe your business We are a franchise or licensee of another company We license out an existing lice removal device but operate independently We are a fully independent business How many treatments does your team perform on average in 1 month?(Required)- If you have multiple clinics use the total amount.How many treatments did your team perform in 2025?(Required)How many treatments has your team performed since opening?(Required)In general which best describes your fee structure?(Required) Fixed price for treatments Hourly fee Other Do you sell products?(Required) Yes No Selling Products in? In store Online Both On average how long do your treatments take?(Required) 0-30 minutes 1 hour 90 minutes 2 hours 2 hours + Do you have a google business (maps) page?(Required) Yes No Link If yes, How many reviews do you have?Business Logo (Premium & Premium Plus Members Only)Max. file size: 250 MB. Post Custom Field
