Receive Wilma Schumann Info and Samples

Welcome to the Info and Samples page. Please fill out the Client Questionnaire below to receive your FREE presentation package and samples.

The more information that you can provide us with, the better the customized presentation package and samples that we can send to you. This information will be kept confidential. We will not sell or share this information with other parties. Please provide us with information on your salon, clinic, spa or medi-spa.

* Indicates required information

Date

Your Name *

Your Position

Clinic/Spa/Salon/Medi-Spa Name *

Address

City

State

Zip

Phone *

Fax Number

E-mail Address *

1. Are you a licensed esthetician or cosmetologist?

Yes No

If yes, please enter your license number:

2. Do you do microdermabrasion, Laser, 40%+, acid peels or other similar services?

Yes No

3. Is this a medical facility?

Yes No

4. What is the owner's name?

5. Who is the person in charge of purchasing?

6. Which skin care lines do you represent right now or are planning on representing?

7. How did you hear about Wilma Schumann® Skin Care? Referred, magazine, show, other?

8. How many total employees?

How many estheticians?

How many treatment rooms?

9. What year was the business established?

10. How much space is dedicated to retail sales?

11. Which services do you currently offer: face, body, others?

12. Are you planning on purchasing equipment in the near future?

Yes No

Comments:

To contact us via standard mail, our address is:
Wilma Schumann Skin Care
4850 S.W. 72 Avenue
Miami, FL. 33155
U.S.A.

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